Individual
DON RAFAEL ROBENIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, PMHNP-BC
Contact information
Practice address
1955 LONG BEACH BLVD STE 200, LONG BEACH, CA 90806-5501
(562) 437-6717
(562) 437-5072
Mailing address
1955 LONG BEACH BLVD STE 200, LONG BEACH, CA 90806-5501
(562) 437-6717
(562) 437-5072
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95022472
CA
163WC0400X
Case Management Registered Nurse
95022472
CA
163WR0400X
Rehabilitation Registered Nurse
95022472
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95015157
CA
390200000X
Student in an Organized Health Care Education/Training Program
95022472
CA
Other
Enumeration date
06/15/2015
Last updated
09/13/2022
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