MEDICARE: HILA ROBBINS D.M.D.

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	1223P0221X	Pediatric Dentistry	43489	CA

General Provider Information

NPI Number	:	1578802807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILA ROBBINS D.M.D.

Provider Business Mailing Address
First Line	:	10231 SANTA MONICA BLVD
Second Line	:	SUITE B
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-6420
Country	:	US
Telephone Number	:	310-552-4864
Fax Number	:	310-552-4863

Provider Business Practice Location Address
First Line	:	10231 SANTA MONICA BLVD STE B
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90067-6428
Country	:	US
Telephone Number	:	310-552-4864
Fax Number	:	310-552-4863

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

Provider Enumeration Date	:	02/06/2013
Last Update Date	:	02/06/2013

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