MEDICARE: ROBIN R. COLE 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	208600000X	Surgery Physician	A84827	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	:	1649276684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ROBIN R. COLE M.D.

Provider Business Mailing Address
First Line	:	1325 N ROSE DR
Second Line	:	STE 202
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3840
Country	:	US
Telephone Number	:	714-203-1500
Fax Number	:	714-203-1711

Provider Business Practice Location Address
First Line	:	1325 N ROSE DR
Second Line	:	STE 202
City	:	PLACENTIA
State	:	CA
Zip	:	92870-3840
Country	:	US
Telephone Number	:	714-203-1500
Fax Number	:	714-203-1711

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

Provider Enumeration Date	:	06/23/2005
Last Update Date	:	08/16/2010

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