Healthcare Provider Details

I. General information

NPI: 1821893314
Provider Name (Legal Business Name): DEXTER ROBINSON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2025
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 METROPOLITAN SUITE 401
ORANGE CA
92868
US

IV. Provider business mailing address

405 W 5TH ST STE 658
SANTA ANA CA
92701-4599
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-3101
  • Fax:
Mailing address:
  • Phone: 714-935-6117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number159450
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: