Provider Demographics
NPI:1790964864
Name:CURTIS F. ROBINSON MD INC.
Entity Type:Organization
Organization Name:CURTIS F. ROBINSON MD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:F
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-388-2801
Mailing Address - Street 1:PO BOX 1340
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-4340
Mailing Address - Country:US
Mailing Address - Phone:415-493-3342
Mailing Address - Fax:415-493-3301
Practice Address - Street 1:619 E BLITHEDALE AVE
Practice Address - Street 2:STE A
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1468
Practice Address - Country:US
Practice Address - Phone:415-388-2801
Practice Address - Fax:415-388-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG77175207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ01902ZMedicare PIN