Robina Michelle Smith, MD | |
2151 N Harbor Blvd, Suite 3100, Fullerton, CA 92835-3820 | |
(714) 446-5296 | |
(714) 446-5240 |
Full Name | Robina Michelle Smith |
---|---|
Gender | Female |
Speciality | Surgery - Surgical Oncology |
Location | 2151 N Harbor Blvd, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558561860 | NPI | - | NPPES |
A100730 | Other | CA | CA MEDICAL LICENSE |
0A1007300 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | A100730 (California) | Secondary |
2086X0206X | Surgery - Surgical Oncology | A100730 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Robina Michelle Smith, MD 279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041 Ph: (714) 449-4800 | Robina Michelle Smith, MD 2151 N Harbor Blvd, Suite 3100, Fullerton, CA 92835-3820 Ph: (714) 446-5296 |
Dr. Courtney Anne Vito, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd Ste 33001, Fullerton, CA 92835 Phone: 714-446-5296 Fax: 714-665-4690 | |
Michael Tsinberg, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 Phone: 714-626-8630 Fax: 714-626-8659 | |
Dong Hum Yoon, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
John Nastasi, Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835 Phone: 714-778-1032 | |
Amanda C Purdy, MD Surgery Medicare: Medicare Enrolled Practice Location: 1950 Sunny Crest Dr Ste 3500, Fullerton, CA 92835 Phone: 714-408-4249 | |
Dr. Robert Emmitt Mccoy, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1950 Sunnycrest Dr, Ste 2600, Fullerton, CA 92835 Phone: 714-446-5260 Fax: 714-446-5265 | |
George Pisimisis, MD Surgery Medicare: Medicare Enrolled Practice Location: 2720 N Harbor Blvd Ste 140, Fullerton, CA 92835 Phone: 657-566-8800 Fax: 657-566-8810 |