MEDICARE: JOAN ROBINSON 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	207L00000X	Anesthesiology Physician	A68413	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	:	1770537706
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOAN ROBINSON MD

Provider Business Mailing Address
First Line	:	411 E CALIFORNIA AVE
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-5277
Country	:	US
Telephone Number	:	949-510-4387
Fax Number	:

Provider Business Practice Location Address
First Line	:	411 E CALIFORNIA AVE
Second Line	:
City	:	ARCATA
State	:	CA
Zip	:	95521-5277
Country	:	US
Telephone Number	:	949-510-4387
Fax Number	:

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

Provider Enumeration Date	:	05/22/2006
Last Update Date	:	09/22/2008

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