Individual
CECIL OLAYA ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1325 E CHURCH ST STE 301, SANTA MARIA, CA 93454
(805) 349-9393
Mailing address
1400 E. CHURCH STREET, ATTENTION: MEDICAL STAFF OFFICE, SANTA MARIA, CA 93454
(805) 739-3954
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G86347
CA
207RH0003X
Hematology & Oncology Physician
ME65760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
252763400
—
FL
01
—
P01747128
RAILROAD PTAN
FL
Enumeration date
04/20/2006
Last updated
07/02/2019
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