MEDICARE: ROBERTSON PARKMAN MD

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	2080P0201X	Pediatric Allergy/Immunology Physician	G49689	CA
2	2080P0207X	Pediatric Hematology & Oncology Physician	G49689	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326118761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBERTSON PARKMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1537
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-1537
Country	:	US
Telephone Number	:	626-840-1062
Fax Number	:

Provider Business Practice Location Address
First Line	:	1407 LISBON LN
Second Line	:
City	:	PEBBLE BEACH
State	:	CA
Zip	:	93953-3207
Country	:	US
Telephone Number	:	626-840-1062
Fax Number	:

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

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	09/20/2022

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