Provider Demographics
NPI:1427406339
Name:ROBINSON BARON MEDICAL CLINIC
Entity Type:Organization
Organization Name:ROBINSON BARON MEDICAL CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBINSON
Authorized Official - Middle Name:VILLAVERDE
Authorized Official - Last Name:BARON
Authorized Official - Suffix:
Authorized Official - Credentials:MEDICAL DOCTOR
Authorized Official - Phone:626-915-3476
Mailing Address - Street 1:964 EAST BADILLO STREET SUITE 220
Mailing Address - Street 2:
Mailing Address - City:COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91724
Mailing Address - Country:US
Mailing Address - Phone:626-915-3476
Mailing Address - Fax:626-966-1363
Practice Address - Street 1:274 W BADILLO STREET
Practice Address - Street 2:
Practice Address - City:COVINA
Practice Address - State:CA
Practice Address - Zip Code:91723
Practice Address - Country:US
Practice Address - Phone:626-915-3476
Practice Address - Fax:626-966-1363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-01
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty