Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | A996882 | CA |
NPI | 1144228156 |
---|---|
Provider Name | Dr. Robin Elizabeth Malone Cunnison |
First Address | Goleta, CA 93111-2403 |
Second Address | Goleta, CA 93111-2403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2005 |
Last Update Date | 10/03/2015 |