Healthcare Provider Details

I. General information

NPI: 1770794836
Provider Name (Legal Business Name): ALVIN ROBBINS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 02/15/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 LA CANADA
LA JOLLA CA
92037-0068
US

IV. Provider business mailing address

301 LA CANADA
LA JOLLA CA
92037-0068
US

V. Phone/Fax

Practice location:
  • Phone: 858-459-0694
  • Fax: 858-459-8875
Mailing address:
  • Phone: 858-459-0694
  • Fax: 858-459-8875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberC29997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: