Provider Demographics
NPI:1326156233
Name:ROBLES, DAVID T (MD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:T
Last Name:ROBLES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:160 E ARTESIA ST STE 325
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-2922
Mailing Address - Country:US
Mailing Address - Phone:909-620-5300
Mailing Address - Fax:909-620-8900
Practice Address - Street 1:160 E ARTESIA ST STE 325
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-2922
Practice Address - Country:US
Practice Address - Phone:909-620-5300
Practice Address - Fax:909-620-8900
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2023-02-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA105427207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1326156233Medicaid