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:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841419793 | NPPES |
| California | MEDICAID | NP0027540 |
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