Organization
PAUL M ROBINSON MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M ROBINSON MD (DIRECTOR)
(310) 828-3031
Entity
Organization
Contact information
Practice address
485 BROADWAY STREET, SUITE # D, EL CENTRO, CA 92243
(310) 301-3031
(310) 301-3001
Mailing address
485 BROADWAY ST, SUITE # D, EL CENTRO, CA 92243-2451
(310) 301-3031
(310) 301-3001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
G72600
CA
208D00000X
General Practice Physician
G72600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G726000
BLUECROSS BLUE SHIELD
CA
05
—
00G726000
—
CA
Enumeration date
02/07/2007
Last updated
06/04/2012
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