Healthcare Provider Details

I. General information

NPI: 1740205707
Provider Name (Legal Business Name): ROBIN WHITMAN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 02/25/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9850 GENESEE AVE SUITE #940
LA JOLLA CA
92037-1224
US

IV. Provider business mailing address

320 SANTA FE DR SUITE 204
ENCINITAS CA
92024-5138
US

V. Phone/Fax

Practice location:
  • Phone: 858-824-2900
  • Fax: 858-824-2909
Mailing address:
  • Phone: 760-944-7300
  • Fax: 760-633-3949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number544787
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: