Individual
ROBIN BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OGNP, FASCCP
Contact information
Practice address
2077 HARBOR BLVD, COSTA MESA, CA 92627-2630
(949) 722-2510
(949) 722-2511
Mailing address
559 GIOTTO, IRVINE, CA 92614-8567
(949) 929-2100
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
RN268672
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0027540
—
CA
Enumeration date
04/25/2007
Last updated
07/09/2007
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