Black, Robin

Black, Robin is an sole proprietor health care provider with primary practice located at 2077 Harbor Blvd , Costa Mesa CA 92627-2630. She recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Family Planning Facility, which is considered as her primary health care specialty. Black, Robin can be contacted via phone (949) 722-2510.

Contact Information

Primary practice address
2077 Harbor Blvd Costa Mesa CA 92627-2630
Phone: (949) 722-2510
Fax: (949) 722-2511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Family Planning Facility 261QA0005X RN268672 California

Profile Details

NPI number 1841419793
LBN Legal business name Black, Robin
Credentials OGNP, FASCCP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841419793 NPPES
California MEDICAID NP0027540

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