Individual provider · Type 1 NPI

Robert Will Reboya Gonzalez, IDC

Military Health Care Provider · San Diego, CA

NPI number 1801489299 Active

Practice location

34101 Farenholt Ave Bldg 14
San Diego, CA 92134-7000

Mailing address

36421 Flower Basket Rd
Winchester, CA 92596-8675

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider Primary 171000000XNone listed

Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

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About NPI 1801489299

Robert Will Reboya Gonzalez, IDC's National Provider Identifier is 1801489299, issued on Feb 16, 2021. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in San Diego, CA. The record was last updated on Feb 16, 2021.