Provider Demographics
NPI:1164632915
Name:ROBERT A ARMADA D O INC
Entity Type:Organization
Organization Name:ROBERT A ARMADA D O INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALEJO
Authorized Official - Last Name:ARMADA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:909-931-3365
Mailing Address - Street 1:1175 E. ARROW HWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:UPLAND
Mailing Address - State:CA
Mailing Address - Zip Code:91786-5525
Mailing Address - Country:US
Mailing Address - Phone:909-931-3365
Mailing Address - Fax:909-931-3369
Practice Address - Street 1:1175 E. ARROW HWY
Practice Address - Street 2:SUITE B
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-5525
Practice Address - Country:US
Practice Address - Phone:909-931-3365
Practice Address - Fax:909-931-3369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A4760207VH0002X
CA020A47600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE08814Medicare UPIN
CABN819AMedicare PIN