Provider Demographics
NPI:1285613737
Name:ROBLAR OCCUPATONA MEDICINE CLINICS, INC.
Entity type:Organization
Organization Name:ROBLAR OCCUPATONA MEDICINE CLINICS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:LESTER
Authorized Official - Middle Name:M
Authorized Official - Last Name:BROWER
Authorized Official - Suffix:X
Authorized Official - Credentials:PT
Authorized Official - Phone:805-614-9000
Mailing Address - Street 1:915 E STOWELL RD
Mailing Address - Street 2:
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7009
Mailing Address - Country:US
Mailing Address - Phone:805-614-9000
Mailing Address - Fax:805-614-9048
Practice Address - Street 1:915 E STOWELL RD
Practice Address - Street 2:
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7009
Practice Address - Country:US
Practice Address - Phone:805-614-9000
Practice Address - Fax:805-614-9048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT 910261Q00000X
261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Not Answered261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility