Healthcare Provider Details

I. General information

NPI: 1811001217
Provider Name (Legal Business Name): PETER ROBINSON M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 02/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1414 S GRAND AVE STE 475
LOS ANGELES CA
90015-3079
US

IV. Provider business mailing address

1414 S GRAND AVE STE 475
LOS ANGELES CA
90015-3079
US

V. Phone/Fax

Practice location:
  • Phone: 213-742-0254
  • Fax: 213-742-0302
Mailing address:
  • Phone: 213-742-0254
  • Fax: 213-742-0302

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC37254
License Number StateCA

VIII. Authorized Official

Name: DR. PETER JOSEPH ROBINSON
Title or Position: OWNER
Credential: M.D.
Phone: 213-742-0254