Provider Demographics
NPI:1982904512
Name:ROBLES, ERIKA
Entity Type:Individual
Prefix:
First Name:ERIKA
Middle Name:
Last Name:ROBLES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18780 AMAR RD
Mailing Address - Street 2:204
Mailing Address - City:WALNUT
Mailing Address - State:CA
Mailing Address - Zip Code:91789-4560
Mailing Address - Country:US
Mailing Address - Phone:626-965-4463
Mailing Address - Fax:626-965-9240
Practice Address - Street 1:18780 AMAR RD
Practice Address - Street 2:204
Practice Address - City:WALNUT
Practice Address - State:CA
Practice Address - Zip Code:91789-4560
Practice Address - Country:US
Practice Address - Phone:626-965-4463
Practice Address - Fax:626-965-9240
Is Sole Proprietor?:No
Enumeration Date:2010-10-29
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator