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NPI Code Detail

MEDICARE: DR. ROBENSON DORVIL MA

MEDICARE: DR. ROBENSON DORVIL MA
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
1106H00000XMarriage & Family TherapistAMFT128092CA
2225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1265261416
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBENSON DORVIL MA
Provider Business Mailing Address
First Line : 14800 CHADRON AVE APT 9
Second Line :
City : GARDENA
State : CA
Zip : 90249-3575
Country : US
Telephone Number : 184-256-0718
Fax Number :
Provider Business Practice Location Address
First Line : 815 N EL CENTRO AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90038-3805
Country : US
Telephone Number : 323-769-7117
Fax Number : 310-886-5326
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2024
Last Update Date : 06/17/2026

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Directions to “ DR. ROBENSON DORVIL MA” Practice Location

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