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General NPI Number Information
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NPI Number | 1699815217
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Entity Type | Organization
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Legal Business Name | PAUL M ROBINSON MD
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 06/04/2012
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Provider Practice Location Address
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Address Line | 485 BROADWAY STREET SUITE # D
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City | EL CENTRO
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State | CA
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Zip | 92243
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Country | US
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Telephone | 310-301-3031
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Fax | 310-301-3001
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Provider Business Mailing Address
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Address Line | 485 BROADWAY ST SUITE # D
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City | EL CENTRO
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State | CA
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Zip | 92243-2451
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Country | US
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Telephone | 310-301-3031
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Fax | 310-301-3001
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Authorized Official
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Title or Position | DIRECTOR
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Name | PAUL M ROBINSON
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Credential | MD
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Telephone | 310-828-3031
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | G72600
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | G72600
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License Number State | CA
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