Healthcare Provider Details

I. General information

NPI: 1487611364
Provider Name (Legal Business Name): DALE A. ROBBINS PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 04/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 FLOWER ST
BAKERSFIELD CA
93305-4144
US

IV. Provider business mailing address

9106 CARNEGIE HALL LANE
BAKERSFIELD CA
93311
US

V. Phone/Fax

Practice location:
  • Phone: 661-326-2000
  • Fax:
Mailing address:
  • Phone: 661-809-7313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA43198
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: