Individual
ROBERT THIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9339 GENESEE AVE STE 350, SAN DIEGO, CA 92121-2150
(858) 454-4300
(858) 454-5088
Mailing address
12700 PARK CENTRAL DR STE 1210, DALLAS, TX 75251-1522
(702) 360-2763
(949) 783-2880
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A201135
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2021
Last updated
06/19/2025
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