Clark, Robin D

Clark, Robin D is an individual health care provider with primary practice located at 11370 Anderson St Ste B-100, Loma Linda CA 92354-3450. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.). Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Clark, Robin D can be contacted via phone (909) 558-2848.

Contact Information

Primary practice address
11370 Anderson St Ste B-100 Loma Linda CA 92354-3450
Phone: (909) 558-2848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G44702 California
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X G44702 California

Profile Details

NPI number 1902826498
LBN Legal business name Clark, Robin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Nov 23rd, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1902826498 NPPES
California MEDICAID 00G447020

Popular Providers