MEDICARE: MR. VICTOR ROBLES RCP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	227800000X	Certified Respiratory Therapist	00011538	CA

General Provider Information

NPI Number	:	1033414289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VICTOR ROBLES RCP

Provider Business Mailing Address
First Line	:	8051 SPRING HILL ST
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91708-7624
Country	:	US
Telephone Number	:	909-438-1421
Fax Number	:

Provider Business Practice Location Address
First Line	:	8051 SPRING HILL ST
Second Line	:
City	:	CHINO
State	:	CA
Zip	:	91708-7624
Country	:	US
Telephone Number	:	909-438-1421
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2011
Last Update Date	:	01/19/2011

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