Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080A0000X | Adolescent Medicine | A163414 | CA |
NPI | 1134461569 |
---|---|
Provider Name | Dr. Camille Angela Robinson |
First Address | San Diego, CA 92134-1002 |
Second Address | San Diego, CA 92134-1098 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2013 |
Last Update Date | 25/02/2021 |