Provider Demographics
NPI:1275656662
Name:ABDELMALIK, ROBIN PHILIP (MD FACC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:PHILIP
Last Name:ABDELMALIK
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31565 RANCHO PUEBLO RD STE 201
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-4839
Mailing Address - Country:US
Mailing Address - Phone:951-225-7800
Mailing Address - Fax:951-225-7818
Practice Address - Street 1:31565 RANCHO PUEBLO RD STE 201
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4839
Practice Address - Country:US
Practice Address - Phone:951-225-7800
Practice Address - Fax:951-225-7818
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2023-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA98113207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACA179125Medicare PIN
CAAP815WMedicare PIN