Provider Demographics
NPI:1396958237
Name:AYOUB, ROBBY TONY (MD)
Entity type:Individual
Prefix:DR
First Name:ROBBY
Middle Name:TONY
Last Name:AYOUB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RABIH
Other - Middle Name:TANIOS
Other - Last Name:AYOUB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:17870 NEWHOPE ST
Mailing Address - Street 2:SUITE 104-546
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5439
Mailing Address - Country:US
Mailing Address - Phone:714-847-6900
Mailing Address - Fax:714-847-3900
Practice Address - Street 1:8201 NEWMAN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92647-7020
Practice Address - Country:US
Practice Address - Phone:714-847-6900
Practice Address - Fax:714-847-3900
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2016-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA102841207R00000X, 207RP1001X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty