Healthcare Provider Details

I. General information

NPI: 1114371010
Provider Name (Legal Business Name): ROBIN HOBBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2016
Last Update Date: 04/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1341 N ESCONDIDO BLVD
ESCONDIDO CA
92026-2507
US

IV. Provider business mailing address

2138 OAK HILL DR
ESCONDIDO CA
92027-3813
US

V. Phone/Fax

Practice location:
  • Phone: 760-317-9113
  • Fax: 760-747-7128
Mailing address:
  • Phone: 760-294-9361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number167654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: