Provider Demographics
NPI:1386361822
Name:AYALA, ROBBYN (NP)
Entity type:Individual
Prefix:
First Name:ROBBYN
Middle Name:
Last Name:AYALA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 EL DORADO ST UNIT C
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91006-3826
Mailing Address - Country:US
Mailing Address - Phone:626-354-3171
Mailing Address - Fax:
Practice Address - Street 1:135 EL DORADO ST UNIT C
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-3826
Practice Address - Country:US
Practice Address - Phone:626-354-3171
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023018363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily