Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | A139589 | CA |
NPI | 1114346111 |
---|---|
Provider Name | Dr. Sean Robinson |
First Address | Sacramento, CA 95831-2445 |
Second Address | Sacramento, CA 95823-5422 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2014 |
Last Update Date | 28/07/2020 |