Healthcare Provider Details
I. General information
NPI: 1851320337
Provider Name (Legal Business Name): DEAN ANDREW ROBINSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/30/2006
Last Update Date: 08/12/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
746 S MAIN AVE SUITE D
FALLBROOK CA
92028-3333
US
IV. Provider business mailing address
746 S MAIN AVE SUITE D
FALLBROOK CA
92028-3333
US
V. Phone/Fax
- Phone: 760-728-8999
- Fax: 760-728-0821
- Phone: 760-728-8999
- Fax: 760-728-0821
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | DC0120360 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: