Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | A107214 | CA |
N | 208200000X | Surgeon | 23871 | WV |
N | 208600000X | Surgeon | 23871 | WV |
Y | 208200000X | Surgeon | A107214 | CA |
Y | 208600000X | Surgeon | A107214 | CA |
NPI | 1841404951 |
---|---|
Provider Name | Dr. Dustin E Robinson |
First Address | Panorama City, CA 91402-5423 |
Second Address | Panorama City, CA 91402-5423 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2007 |
Last Update Date | 29/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3810016278 | (05) | WV |