Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN CLARK ROBERTSON, PA
ActiveKEVIN CLARK ROBERTSON, PA is a Physician Assistant healthcare provider located in EL SEGUNDO, California. NPI 1295955441 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · EL SEGUNDO, CA
Registration Details
- NPI Number
- 1295955441
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 30, 2007 (19.278876581995 yrs)
- Last Updated
- Aug 14, 2015
- License
-
PA17110 (CA)
Practice Information
- Address
-
125 EUCALYPTUS DREL SEGUNDO, CA, 902453839Browse CA providers · Browse ZIP 90245
- Phone
- 3103224278
- Fax
- 3103226660
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in EL SEGUNDO, CA
| Name | Credential | NPI |
|---|---|---|
| KATAYOUN MOINI | PA | 1770581423 |
| EVE M KATZEN | PA-C | 1053439562 |
| MS. ALERICE E WALKER | P.A. | 1700075488 |
| JOSEPH JONES | PA-C | 1982923843 |
| MISS ELISE L. DINER | P.A.-C | 1902237894 |
| CHEYENNE PATEL | PA-C | 1124402359 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.