Provider Demographics
NPI:1326056920
Name:ROBBINS, CLAUDETTE E (MD)
Entity Type:Individual
Prefix:
First Name:CLAUDETTE
Middle Name:E
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 8656
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91327
Mailing Address - Country:US
Mailing Address - Phone:818-421-9669
Mailing Address - Fax:818-364-4071
Practice Address - Street 1:14445 OLIVE VIEW DR
Practice Address - Street 2:OLIVE VIEW MEDICAL CENTER
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342
Practice Address - Country:US
Practice Address - Phone:818-364-4078
Practice Address - Fax:818-364-4071
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC404762085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
F16809Medicare UPIN