Provider Demographics
NPI: | 1053065375 |
---|---|
Name: | SEAN P ROBINSON MD INC |
Entity type: | Organization |
Organization Name: | SEAN P ROBINSON MD INC |
Other - Org Name: | <UNAVAIL> |
Other - Org Type: | |
Authorized Official - Title/Position: | ORTHOPEDIC SURGEON |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | SEAN |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ROBINSON |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | MD |
Authorized Official - Phone: | 916-345-4528 |
Mailing Address - Street 1: | 8120 TIMBERLAKE WAY STE 109 |
Mailing Address - Street 2: | |
Mailing Address - City: | SACRAMENTO |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 95823-5413 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 916-689-8441 |
Mailing Address - Fax: | 916-689-5573 |
Practice Address - Street 1: | 8120 TIMBERLAKE WAY STE 109 |
Practice Address - Street 2: | |
Practice Address - City: | SACRAMENTO |
Practice Address - State: | CA |
Practice Address - Zip Code: | 95823-5413 |
Practice Address - Country: | US |
Practice Address - Phone: | 916-689-8441 |
Practice Address - Fax: | 916-689-5573 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2022-02-06 |
Last Update Date: | 2025-01-16 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 207XX0005X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | Sports Medicine | Group - Single Specialty |