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Organization

RICHARD A SHUBIN, M.D., INC.

Active
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Organization

RICHARD A SHUBIN, M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LYNNA DEL CASTILLO (BILLING ADMINISTRATOR)
(626) 332-7090
Entity
Organization

Contact information

Practice address
1015 NORTH FIRST AVE, SUITE A, ARCADIA, CA 91006-7401
(626) 332-7090
(800) 924-7301
Mailing address
1015 NORTH FIRST AVE, SUITE A, ARCADIA, CA 91006-7401
(626) 332-7090
(800) 924-7301

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G50827
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G508270
CA
01
HG50827
BLUE SHIELD
CA
01
HG50827A
BLUE CROSS
CA
Enumeration date
05/24/2007
Last updated
06/25/2014
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