Healthcare Provider Details

I. General information

NPI: 1982121026
Provider Name (Legal Business Name): KAREN A ROBINSON RDHAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/29/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1264 N. KINGS RD #14
WEST HOLLYWOOD CA
90069
US

IV. Provider business mailing address

1264 N KINGS RD APT 14
WEST HOLLYWOOD CA
90069-2856
US

V. Phone/Fax

Practice location:
  • Phone: 818-681-7946
  • Fax:
Mailing address:
  • Phone: 818-681-7946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License NumberHAP29
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: