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General NPI Number Information
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NPI Number | 1780640631
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Entity Type | Individual
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Provider Name | CECIL OLAYA ROBERTSON M. D.
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Gender | Male
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Dates
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Enumeration Date | 04/20/2006
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Last Update Date | 07/02/2019
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Provider Practice Location Address
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Address Line | 1325 E CHURCH ST STE 301
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-349-9393
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 E. CHURCH STREET ATTENTION: MEDICAL STAFF OFFICE
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City | SANTA MARIA
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State | CA
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Zip | 93454
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Country | US
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Telephone | 805-739-3954
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Fax |
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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 | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | ME65760
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G86347
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License Number State | CA
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