Individual provider · NPI-1

Jorge Fernando Robles Sr., MD

Family Medicine · El Centro, CA

NPI number1366517716
StatusActive
Last updated in NPPESApr 24, 2018

Details

NPI
1366517716
Entity type
Individual (NPI-1)
Name
Mr. Jorge Fernando Robles Sr.
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Nov 21, 2006
Last updated
Apr 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineA52681CAYes

Practice location

1501 Ocotillo Dr Ste C
El Centro, CA 92243-4217

Phone 760-353-6363 · Fax 760-355-9521

Mailing address

516 West Aten Road
Suite 2
Imperial, CA 92251

Phone 760-355-7730 · Fax 760-355-7731

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