Provider Demographics
NPI:1346376555
Name:MIHALIK, ROBERT FRANCIS (NP, PA-C)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:FRANCIS
Last Name:MIHALIK
Suffix:
Gender:M
Credentials:NP, PA-C
Other - Prefix:
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Mailing Address - Street 1:2460 BLUE JAY DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-3310
Mailing Address - Country:US
Mailing Address - Phone:858-278-1263
Mailing Address - Fax:858-278-1263
Practice Address - Street 1:2460 BLUE JAY DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-3310
Practice Address - Country:US
Practice Address - Phone:858-278-1263
Practice Address - Fax:858-278-1263
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-24
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA3918363L00000X
CA1004104363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant