Provider Demographics
NPI:1619017753
Name:ROBINSON-SMITH, KARIN EILEEN (NP)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:EILEEN
Last Name:ROBINSON-SMITH
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 E PINE ST
Mailing Address - Street 2:
Mailing Address - City:ALTADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91001-1936
Mailing Address - Country:US
Mailing Address - Phone:323-681-6288
Mailing Address - Fax:626-578-1204
Practice Address - Street 1:351 S HUDSON AVE
Practice Address - Street 2:SUITE NUMBER 130
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-3507
Practice Address - Country:US
Practice Address - Phone:626-795-6981
Practice Address - Fax:626-578-1204
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA264459363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1964881Medicaid