Organization
FANE L. ROBINSON, M.D. AND MARK D. SMITH, M.D., A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA S NUNEZ (PRACTICE ADMINISTRATOR)
(858) 609-7108
Entity
Organization
Contact information
Practice address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
Mailing address
7695 CARDINAL CT STE 100, SAN DIEGO, CA 92123-3357
(858) 609-7100
Taxonomy
Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124089586
NPPES
CA
01
—
1255490330
NPI
CA
01
—
1295894368
NPI
CA
01
—
1952565491
NPI
CA
Enumeration date
03/29/2018
Last updated
06/24/2021
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