Healthcare Provider Details

I. General information

NPI: 1164953162
Provider Name (Legal Business Name): ROBIN RUTH SCHOEN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2017
Last Update Date: 03/26/2022
Certification Date: 03/26/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47470 VAN BUREN ST
INDIO CA
92201-7139
US

IV. Provider business mailing address

24910 LAS BRISAS RD STE 105
MURRIETA CA
92562-4010
US

V. Phone/Fax

Practice location:
  • Phone: 760-347-3512
  • Fax:
Mailing address:
  • Phone: 951-231-1385
  • Fax: 951-461-9191

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number20A17405
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: