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DR. ROBERT KEY BOLAN M.D.
NPI 1386643831
Specialist in Los Angeles, CA

Active since July 18, 2005PECOS Enrolled
1625 SCHRADER BLVD, 3RD FLOOR, LOS ANGELES, CA 90028(323) 993-7500(323) 308-4015 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Robert Key Bolan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT KEY BOLAN M.D. (NPI 1386643831) is an individual specialist in Los Angeles, California, licensed in California (G39301) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386643831
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ROBERT KEY BOLANCredential: M.D.
Location Address1625 SCHRADER BLVD, 3RD FLOORLos Angeles, CA 90028-6213
Mailing Address1625 Schrader Blvd Fl 3Los Angeles, CA 90028-6213 · (323) 993-7500 · Fax (323) 308-4015
Phone(323) 993-7500
Fax(323) 308-4015
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1386643831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G39301
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1625 SCHRADER BLVD, Los Angeles, CA 90028
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Other Identifiers 2

Medicaid00G393010CA
OtherG39301CA · State License #

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Robert Key Bolan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KEVIN THOMAS MARX PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7467
DEVIKA SHANKAR
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7504
AUDREY MACASIEB
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8910
ANEDRA PRESSLEY RN
Registered Nurse
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7434
ALAN GAONA
Rehabilitation Practitioner
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-8971
MR. RISHAD LAWYER LMFT
Marriage & Family Therapist
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 993-7500
ACE SEIDEL
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (213) 466-5021
JULIE MOORE
Psychologist (Clinical)
1625 SCHRADER BLVD
LOS ANGELES, CA 90028
Los Angeles County (323) 860-5889

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Bolan's NPI number?

The NPI number for Robert Bolan is 1386643831. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Robert Bolan located?

Robert Bolan practices at 1625 Schrader Blvd 3rd Floor, Los Angeles, CA 90028. The listed phone number is (323) 993-7500.

What is Robert Bolan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Robert Bolan enrolled in Medicare?

Yes. Robert Bolan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Bolan was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.