Provider Demographics
NPI:1609099357
Name:ROBINSON, ROY J (MD, DC)
Entity Type:Individual
Prefix:DR
First Name:ROY
Middle Name:J
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MD, DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8790 CUYAMACA ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:SANTEE
Mailing Address - State:CA
Mailing Address - Zip Code:92071-4295
Mailing Address - Country:US
Mailing Address - Phone:619-449-4222
Mailing Address - Fax:619-449-4293
Practice Address - Street 1:8790 CUYAMACA ST
Practice Address - Street 2:SUITE H
Practice Address - City:SANTEE
Practice Address - State:CA
Practice Address - Zip Code:92071-4295
Practice Address - Country:US
Practice Address - Phone:619-449-4222
Practice Address - Fax:619-449-4293
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA56270208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG34539Medicare UPIN