Provider Demographics
NPI:1659395671
Name:TONKS, ROBERT DEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:DEAN
Last Name:TONKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9834 GENESEE AVE STE 225
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1215
Mailing Address - Country:US
Mailing Address - Phone:858-576-9901
Mailing Address - Fax:858-576-0080
Practice Address - Street 1:9834 GENESEE AVE STE 225
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1215
Practice Address - Country:US
Practice Address - Phone:858-576-9901
Practice Address - Fax:858-576-0080
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46158174400000X, 207X00000X, 207XX0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0801XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
No174400000XOther Service ProvidersSpecialist
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A461580Medicaid
CAE83309Medicare UPIN
CAA46158Medicare ID - Type UnspecifiedLICENSE NUMBER