MEDICARE: DR. HARVARD MORRIS ROBBINS 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	208000000X	Pediatrics Physician	A333470	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00A3334700	OTHER	CA	MEDI-CAL NUMBER
2	A333470	OTHER	CA	MEDICAL LICENSE NUMBER

General Provider Information

NPI Number	:	1679685069
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HARVARD MORRIS ROBBINS M.D.

Provider Business Mailing Address
First Line	:	340 EUREKA SQ
Second Line	:
City	:	PACIFICA
State	:	CA
Zip	:	94044-2652
Country	:	US
Telephone Number	:	650-359-1675
Fax Number	:	650-359-1671

Provider Business Practice Location Address
First Line	:	340 EUREKA SQ
Second Line	:
City	:	PACIFICA
State	:	CA
Zip	:	94044-2652
Country	:	US
Telephone Number	:	650-359-1675
Fax Number	:	650-359-1671

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	06/18/2014

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