Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207V00000X | Obstetrician & Gynecologist | A84527 | CA |
N | 207V00000X | Obstetrician & Gynecologist | MD00046338 | WA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | A84527 | CA |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | MD00046338 | WA |
NPI | 1306813167 |
---|---|
Provider Name | Dr. Peter Andrew Robilio |
First Address | Santa Maria, CA 93454-4890 |
Second Address | Oxnard, CA 93036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2006 |
Last Update Date | 01/02/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0252400 | STATE L&I (01) | WA |