Healthcare Provider Details

I. General information

NPI: 1487485389
Provider Name (Legal Business Name): CHARLENE-MEI CHAN ROBLES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/12/2024
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

795 EL CAMINO REAL
PALO ALTO CA
94301-2302
US

IV. Provider business mailing address

1500 OWENS ST STE 400
SAN FRANCISCO CA
94158-2335
US

V. Phone/Fax

Practice location:
  • Phone: 650-853-3355
  • Fax:
Mailing address:
  • Phone: 415-353-7598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number306449
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: