Provider Demographics
NPI:1770794836
Name:ROBBINS, ALVIN (MD)
Entity type:Individual
Prefix:DR
First Name:ALVIN
Middle Name:
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 LA CANADA
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-0068
Mailing Address - Country:US
Mailing Address - Phone:858-459-0694
Mailing Address - Fax:858-459-8875
Practice Address - Street 1:301 LA CANADA
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-0068
Practice Address - Country:US
Practice Address - Phone:858-459-0694
Practice Address - Fax:858-459-8875
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC29997102L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst