MEDICARE: ROBIN R COLE, MD, A MEDICAL CORPORATION

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	208600000X	Surgery Physician	A84827	CA

General Provider Information

NPI Number	:	1619291168
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBIN R COLE, MD, A MEDICAL CORPORATION

Provider Business Mailing Address
First Line	:	1325 N ROSE DR
Second Line	:	SUITE 202
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3840
Country	:	US
Telephone Number	:	714-203-1500
Fax Number	:	714-203-1711

Provider Business Practice Location Address
First Line	:	1325 N ROSE DR
Second Line	:	SUITE 202
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3840
Country	:	US
Telephone Number	:	714-203-1500
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN AND OWNER
Name	:	ROBIN R COLE
Credential	:	MD
Telephone Number	:	714-203-1500

Provider Enumeration Date	:	03/25/2010
Last Update Date	:	08/21/2010

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