Provider Demographics
NPI:1285837419
Name:GRUBER, ROBERT K
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:K
Last Name:GRUBER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19045 PORTOLA DRIVE
Mailing Address - Street 2:H-3
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901
Mailing Address - Country:US
Mailing Address - Phone:831-455-8190
Mailing Address - Fax:
Practice Address - Street 1:19045 PORTOLA DR
Practice Address - Street 2:H-3
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93908-1262
Practice Address - Country:US
Practice Address - Phone:831-455-8190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9108171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist