Healthcare Provider Details

I. General information

NPI: 1649392317
Provider Name (Legal Business Name): RICKI GINSBURG ROBINSON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 FOOTHILL BLVD STE 301
LA CANADA CA
91011-2151
US

IV. Provider business mailing address

1346 FOOTHILL BLVD STE 301
LA CANADA CA
91011-2151
US

V. Phone/Fax

Practice location:
  • Phone: 818-790-1587
  • Fax: 818-952-3473
Mailing address:
  • Phone: 818-790-1587
  • Fax: 818-952-3473

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0006X
TaxonomyDevelopmental - Behavioral Pediatrics Physician
License NumberG28779
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: