Healthcare Provider Details

I. General information

NPI: 1952210098
Provider Name (Legal Business Name): TAYLOR ROSE ROBBEN NP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1316 3RD STREET PROMENADE STE 201
SANTA MONICA CA
90401-1382
US

IV. Provider business mailing address

400 W 30TH ST
LOS ANGELES CA
90007-3320
US

V. Phone/Fax

Practice location:
  • Phone: 800-576-5544
  • Fax:
Mailing address:
  • Phone: 213-284-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95040458
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: