Healthcare Provider Details

I. General information

NPI: 1710014923
Provider Name (Legal Business Name): DOREEN ROBINSON R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 W LA VETA AVE SUITE 850
ORANGE CA
92868-4223
US

IV. Provider business mailing address

1140 W LA VETA AVE SUITE 850
ORANGE CA
92868-4223
US

V. Phone/Fax

Practice location:
  • Phone: 714-560-4450
  • Fax: 714-560-4455
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number652150
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: