Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 20A12497 | CA |
N | 2081P2900X | Pain Medicine | 20A12497 | CA |
N | 2081S0010X | Sports Medicine | 20A12497 | CA |
N | 213ES0000X | Sports Medicine | 20A12497 | CA |
NPI | 1467680124 |
---|---|
Provider Name | Dr. Robin Kabigting Matias |
First Address | Los Gatos, CA 95032-2054 |
Second Address | Los Gatos, CA 95032-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/07/2009 |
Last Update Date | 15/12/2021 |