Healthcare Provider Details

I. General information

NPI: 1154685600
Provider Name (Legal Business Name): CHRISTOPHER ALAN ROBERTSON D.P.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2012
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9100 WILSHIRE BLVD STE 280E
BEVERLY HILLS CA
90212-3562
US

IV. Provider business mailing address

4138 MORNINGVIEW WAY
EL DORADO HILLS CA
95762-5678
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-3668
  • Fax: 310-652-3669
Mailing address:
  • Phone: 916-934-3550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO60563468
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberSC006399
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: