Owen L. Robinson Md, A Medical Corporation | |
1141 W Redondo Beach Blvd Ste 400 Gardena CA 90247-3586 | |
(310) 538-1381 | |
(310) 538-4900 |
Full Name | Owen L. Robinson Md, A Medical Corporation |
---|---|
Speciality | Internal Medicine |
Location | 1141 W Redondo Beach Blvd, Gardena, California |
Authorized Official Name and Position | Owen Robinson (PRESIDENT) |
Authorized Official Contact | 3105381381 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Owen L. Robinson Md, A Medical Corporation 1141 W Redondo Beach Blvd Ste 400 Gardena CA 90247-3586 Ph: (310) 538-1381 | Owen L. Robinson Md, A Medical Corporation 1141 W Redondo Beach Blvd Ste 400 Gardena CA 90247-3586 Ph: (310) 538-1381 |
NPI Number | 1912212739 |
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Provider Enumeration Date | 08/17/2010 |
Last Update Date | 09/16/2010 |
Medicare PECOS PAC ID | 0345365060 |
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Medicare Enrollment ID | O20100917000143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912212739 | NPI | - | NPPES |
00G479200 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | G47920 (California) | Primary |
Provider Name | Owen L Robinson |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1447246806 PECOS PAC ID: 1254456973 Enrollment ID: I20100917000160 |
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