Provider Demographics
NPI:1780187229
Name:ROBLES, JESSE (NP)
Entity Type:Individual
Prefix:
First Name:JESSE
Middle Name:
Last Name:ROBLES
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:345 F STREET
Mailing Address - Street 2:SUITE 220
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910
Mailing Address - Country:US
Mailing Address - Phone:619-397-5400
Mailing Address - Fax:619-397-5445
Practice Address - Street 1:345 F STREET
Practice Address - Street 2:SUITE 220
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910
Practice Address - Country:US
Practice Address - Phone:619-397-5400
Practice Address - Fax:619-397-5445
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95008504207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine