Provider Demographics
NPI:1083758957
Name:RAKOV, ROBYN SUE (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:SUE
Last Name:RAKOV
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:25301 CABOT ROAD
Mailing Address - Street 2:SUITE NUMBER 112
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-5511
Mailing Address - Country:US
Mailing Address - Phone:949-768-7225
Mailing Address - Fax:949-768-7514
Practice Address - Street 1:25301 CABOT ROAD
Practice Address - Street 2:SUITE NUMBER 112
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-5511
Practice Address - Country:US
Practice Address - Phone:949-768-7225
Practice Address - Fax:949-768-7514
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2010-03-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA6535T152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy