Healthcare Provider Details

I. General information

NPI: 1013860659
Provider Name (Legal Business Name): DEBRA & ROBIN IM DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1746 NOGALES ST
ROWLAND HEIGHTS CA
91748-2943
US

IV. Provider business mailing address

321 LUCIA LN
BREA CA
92821-6110
US

V. Phone/Fax

Practice location:
  • Phone: 714-334-4866
  • Fax:
Mailing address:
  • Phone: 714-334-4866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBIN IM
Title or Position: DENTIST
Credential: DDS
Phone: 714-334-4866