# GABRIEL RUBANENKO, M.D. INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174783849
- **Authorized official:** ETA KHALFIN (M.D.)
- **Authorized official phone:** (310) 274-5088

## Contact information

- **Practice address:** 9033 WILSHIRE BLVD, SUITE 401, BEVERLY HILLS, CA 90211-1837
- **Practice address phone:** (310) 274-5088
- **Practice address fax:** (310) 274-1040
- **Mailing address:** 9033 WILSHIRE BLVD, SUITE 401, BEVERLY HILLS, CA 90211-1837
- **Mailing address phone:** (310) 274-5088
- **Mailing address fax:** (310) 274-1040

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | A39466 | CA | Yes |

## Other

- **Enumeration date:** 06/16/2008
- **Last updated:** 01/16/2009