JEFFREY N. ROBERTS MD A MEDICAL CORPORATION NPI 1780206813

NPI Information

NPI: 1780206813
Provider Name: JEFFREY N. ROBERTS MD A MEDICAL CORPORATION
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
400 N PEPPER AVE
COLTON, CA
ZIP 92324
Phone: (909) 223-0338
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JEFFREY N. ROBERTS MD A MEDICAL CORPORATION is a multi-specialty clinic center in Colton, CA. JEFFREY N. ROBERTS MD A MEDICAL CORPORATION NPI is 1780206813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

400 N PEPPER AVE
COLTON, CA
ZIP 92324-801
Phone: (909) 223-0338
Fax: (909) 580-1440

The provider's authorized official is Jeffrey Neil Roberts .
The authorized official title is President and has the following contact phone number (909) 223-0338.

The enumeration date for this NPI number is 5/12/2020 and was last updated on 12/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
2	207Y00000X	Otolaryngology		No
3	261QM1300X	Clinic/Center	Multi-Specialty	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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