Provider Demographics
NPI:1639398225
Name:ROBERT D. TONKS, M.D., INC
Entity Type:Organization
Organization Name:ROBERT D. TONKS, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIK
Authorized Official - Middle Name:J
Authorized Official - Last Name:MARQUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-538-5333
Mailing Address - Street 1:8010 FROST ST
Mailing Address - Street 2:SUITE 604
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-2778
Mailing Address - Country:US
Mailing Address - Phone:858-576-9901
Mailing Address - Fax:858-576-0080
Practice Address - Street 1:8010 FROST ST
Practice Address - Street 2:SUITE 604
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-2778
Practice Address - Country:US
Practice Address - Phone:858-576-9901
Practice Address - Fax:858-576-0080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA461582086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A461580Medicaid
CA00A461580Medicaid