Healthcare Provider Details

I. General information

NPI: 1902238033
Provider Name (Legal Business Name): ROBIN CHRISTINE PLOHARZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2013
Last Update Date: 08/18/2020
Certification Date: 08/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1822 JENSEN AVE #102-104
SANGER CA
93657
US

IV. Provider business mailing address

1822 JENSEN AVE #102-104
SANGER CA
93657
US

V. Phone/Fax

Practice location:
  • Phone: 559-875-6300
  • Fax: 559-875-6094
Mailing address:
  • Phone: 559-875-6300
  • Fax: 559-875-6094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: