Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC18612 | CA |
NPI | 1003957101 |
---|---|
Provider Name | Dr. Rose Darlene Robinson |
First Address | Los Angeles, CA 90064-3333 |
Second Address | Los Angeles, CA 90064-3333 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2007 |
Last Update Date | 08/07/2007 |