Provider Demographics
NPI:1942368949
Name:CARLIN, ROBERT BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:BRUCE
Last Name:CARLIN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:24953 PASEO DE VALENCIA
Mailing Address - Street 2:SUITE 21B
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-4342
Mailing Address - Country:US
Mailing Address - Phone:949-770-7656
Mailing Address - Fax:949-770-2839
Practice Address - Street 1:24953 PASEO DE VALENCIA
Practice Address - Street 2:SUITE 21B
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-4342
Practice Address - Country:US
Practice Address - Phone:949-770-7656
Practice Address - Fax:949-770-2839
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2023-07-12
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Provider Licenses
StateLicense IDTaxonomies
CAA24281207ND0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C35327Medicare UPIN