# ERNEST B ROBINSON MD A PROFESSIONAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417191339
- **Authorized official:** ERNEST B. ROBINSON M.D. (PHYSICIAN/SURGEON)
- **Authorized official phone:** (949) 831-5900

## Contact information

- **Practice address:** 24541 PACIFIC PARK DR., SUITE 103, ALISO VIEJO, CA 92656-3050
- **Practice address phone:** (949) 831-5900
- **Practice address fax:** (949) 831-1782
- **Mailing address:** 24541 PACIFIC PARK DR., SUITE 103, ALISO VIEJO, CA 92656-3050
- **Mailing address phone:** (949) 831-5900
- **Mailing address fax:** (949) 831-1782

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | G073812 | CA | Yes |

## Other

- **Enumeration date:** 04/22/2009
- **Last updated:** 12/29/2014
