MEDICARE: MS. ROBYN CLAIRE RIGGS PA, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA59905	CA

General Provider Information

NPI Number	:	1205432150
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBYN CLAIRE RIGGS PA, ATC

Provider Business Mailing Address
First Line	:	1958 AUSTIN CT
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-2822
Country	:	US
Telephone Number	:	909-967-1121
Fax Number	:

Provider Business Practice Location Address
First Line	:	1958 AUSTIN CT
Second Line	:
City	:	CLAREMONT
State	:	CA
Zip	:	91711-2822
Country	:	US
Telephone Number	:	909-967-1121
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/07/2020
Last Update Date	:	06/09/2023

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