Healthcare Provider Details

I. General information

NPI: 1316177975
Provider Name (Legal Business Name): ROBIN KURLAND-WEST MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2009
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 MANOR PLZ
PACIFICA CA
94044-1839
US

IV. Provider business mailing address

759 UPLAND RD
REDWOOD CITY CA
94062-3042
US

V. Phone/Fax

Practice location:
  • Phone: 650-355-8787
  • Fax:
Mailing address:
  • Phone: 650-355-8787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number52288
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: