Healthcare Provider Details

I. General information

NPI: 1093934036
Provider Name (Legal Business Name): MICHAEL ROBIN LEWIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7341 WOODVALE CT
WEST HILLS CA
91307-1444
US

IV. Provider business mailing address

7341 WOODVALE CT
WEST HILLS CA
91307-1444
US

V. Phone/Fax

Practice location:
  • Phone: 216-548-5242
  • Fax: 888-827-4246
Mailing address:
  • Phone: 216-548-5242
  • Fax: 888-827-4246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA103852
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: