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General NPI Number Information
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NPI Number | 1558561860
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Entity Type | Individual
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Provider Name | ROBINA MICHELLE SMITH M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 04/26/2013
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Provider Practice Location Address
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Address Line | 2151 N HARBOR BLVD SUITE 3100
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City | FULLERTON
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State | CA
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Zip | 92835-3820
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Country | US
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Telephone | 714-446-5296
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Fax | 714-446-5240
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Provider Business Mailing Address
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Address Line | 279 IMPERIAL HWY SUITE 730
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City | FULLERTON
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State | CA
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Zip | 92835-1041
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Country | US
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Telephone | 714-449-4800
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Fax | 714-449-4956
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A100730
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A100730
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License Number State | CA
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