Carlos, Malyssa Robin

Carlos, Malyssa Robin is an individual health care provider with primary practice located at 1235 Indiana Ct Ste 107 , Redlands CA 92374-4540. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Carlos, Malyssa Robin can be contacted via phone (909) 566-3358.

Contact Information

Primary practice address
1235 Indiana Ct Ste 107 Redlands CA 92374-4540
Phone: (909) 566-3358
Fax: (909) 757-6400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X F2088491 California

Profile Details

NPI number 1639846249
LBN Legal business name Carlos, Malyssa Robin
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2021
Last updated Sep 24th, 2021 - about 4 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 1639846249 NPPES
California MEDICAID F2088491

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