Healthcare Provider Details
I. General information
NPI: 1811272560
Provider Name (Legal Business Name): ROBYN HILLES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/13/2011
Last Update Date: 07/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
521 PARNASSUS AVENUE ROOM C-450
SAN FRANCISCO CA
94115-1762
US
IV. Provider business mailing address
521 PARNASSUS AVENUE ROOM C-450
SAN FRANCISCO CA
94115-1762
US
V. Phone/Fax
- Phone: 415-476-2131
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 390200000X |
| Taxonomy | Student in an Organized Health Care Education/Training Program |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | 123930 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: