Provider Demographics
NPI:1659389740
Name:ROBINSON, DAISY ALAS (MD)
Entity Type:Individual
Prefix:DR
First Name:DAISY
Middle Name:ALAS
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DAYSI
Other - Middle Name:D
Other - Last Name:ALAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:321 E ALVARADO ST
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2912
Mailing Address - Country:US
Mailing Address - Phone:760-723-6200
Mailing Address - Fax:760-723-6215
Practice Address - Street 1:321 E ALVARADO ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2912
Practice Address - Country:US
Practice Address - Phone:760-723-6200
Practice Address - Fax:760-723-6215
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA56278208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A562780OtherMEDI-CAL ID
CA00A562780OtherMEDI-CAL ID