Provider Demographics
NPI:1750389698
Name:ROBINSON, PAUL JUSTIN (DO)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JUSTIN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:20700 LAKE CHABOT RD
Mailing Address - Street 2:SUITE #107
Mailing Address - City:CASTRO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94546-5402
Mailing Address - Country:US
Mailing Address - Phone:510-886-5515
Mailing Address - Fax:510-886-0481
Practice Address - Street 1:20700 LAKE CHABOT RD
Practice Address - Street 2:SUITE #107
Practice Address - City:CASTRO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94546-5402
Practice Address - Country:US
Practice Address - Phone:510-886-5515
Practice Address - Fax:510-886-0481
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-13
Last Update Date:2012-05-02
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Provider Licenses
StateLicense IDTaxonomies
CA20A7597207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A7597OtherLICENSE #
CAH56084Medicare UPIN