Provider Demographics
NPI:1487984035
Name:KOHLER, ROBIN GAIL (LAC)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:GAIL
Last Name:KOHLER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4015 HAINES ST
Mailing Address - Street 2:#10
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109-5312
Mailing Address - Country:US
Mailing Address - Phone:858-483-1217
Mailing Address - Fax:619-563-2384
Practice Address - Street 1:4015 HAINES ST
Practice Address - Street 2:#10
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-5312
Practice Address - Country:US
Practice Address - Phone:858-483-1217
Practice Address - Fax:619-563-2384
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-04
Last Update Date:2010-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA5429171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist