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NPI Code Detail

MEDICARE: ERIC MANUEL ROBLES RN

MEDICARE: ERIC MANUEL ROBLES RN
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
1163W00000XRegistered Nurse828403CA

General Provider Information

NPI Number : 1427911726
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC MANUEL ROBLES RN
Provider Business Mailing Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3500
Country : US
Telephone Number : 424-328-2407
Fax Number :
Provider Business Practice Location Address
First Line : 1050 PACIFIC COAST HWY
Second Line :
City : HARBOR CITY
State : CA
Zip : 90710-3500
Country : US
Telephone Number : 424-328-2407
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2025
Last Update Date : 12/04/2025

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