Healthcare Provider Details

I. General information

NPI: 1780181107
Provider Name (Legal Business Name): JOSE A ROBAINA JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5859
US

IV. Provider business mailing address

707 S GARFIELD AVE FL 2
ALHAMBRA CA
91801-5859
US

V. Phone/Fax

Practice location:
  • Phone: 626-656-1322
  • Fax:
Mailing address:
  • Phone: 626-656-1322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License Number74981
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207XX0005X
TaxonomySports Medicine (Orthopaedic Surgery) Physician
License NumberA201416
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: