Healthcare Provider Details

I. General information

NPI: 1952547341
Provider Name (Legal Business Name): ROBYN CURL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2009
Last Update Date: 01/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 N PERRIS BLVD
PERRIS CA
92571-2509
US

IV. Provider business mailing address

600 3RD ST
LAKE ELSINORE CA
92530-2748
US

V. Phone/Fax

Practice location:
  • Phone: 951-940-6001
  • Fax: 951-940-1691
Mailing address:
  • Phone: 951-674-5354
  • Fax: 951-674-5227

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAS
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: