Provider Demographics
NPI:1710095948
Name:SCINTA, ROBERT ALAN (RN)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:ALAN
Last Name:SCINTA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4525 MISSION GORGE PL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-4106
Mailing Address - Country:US
Mailing Address - Phone:619-228-8004
Mailing Address - Fax:619-228-8030
Practice Address - Street 1:4525 MISSION GORGE PL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92120-4106
Practice Address - Country:US
Practice Address - Phone:619-228-8004
Practice Address - Fax:619-228-8030
Is Sole Proprietor?:No
Enumeration Date:2006-08-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA415115163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAVAD000Medicare UPIN