Provider Demographics
NPI:1518994318
Name:OHRLING, ROBERT (PH,D)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:OHRLING
Suffix:
Gender:M
Credentials:PH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36427 CAMINO DEL MAR
Mailing Address - Street 2:
Mailing Address - City:CATHEDRAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:92234-1558
Mailing Address - Country:US
Mailing Address - Phone:760-347-7244
Mailing Address - Fax:760-347-7344
Practice Address - Street 1:36427 CAMINO DEL MAR
Practice Address - Street 2:
Practice Address - City:CATHEDRAL CITY
Practice Address - State:CA
Practice Address - Zip Code:92234-1558
Practice Address - Country:US
Practice Address - Phone:760-347-7244
Practice Address - Fax:760-347-7344
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY12394103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPSY123940Medicaid
CAPSY123940Medicaid
CA0PL123940Medicare ID - Type Unspecified