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Individual
DR. ROBIN N STAN
Active
Individual
DR. ROBIN N STAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G84994
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G849940
—
CA
01
—
95-4170981
GROUP PROVIDER ID
CA
01
—
G84994
MEDICAL LICENSE
CA
Enumeration date
06/23/2005
Last updated
11/10/2021
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