# EDWARD RABINOVICH, DDS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edward Rabinovich DDS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801325238
- **Authorized official:** EDWARD RABINOVICH (PRESIDENT)
- **Authorized official phone:** (619) 660-9800

## Contact information

- **Practice address:** 3855 AVOCADO BLVD., STE. 250, LA MESA, CA 91941
- **Practice address phone:** (619) 660-9800
- **Practice address fax:** (619) 660-8628
- **Mailing address:** 3855 AVOCADO BLVD STE 250, LA MESA, CA 91941-7382
- **Mailing address phone:** (619) 660-9800
- **Mailing address fax:** (619) 660-8628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 40712 | CA | Yes |

## Other

- **Enumeration date:** 06/08/2017
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1154464139 | NPPES | CA |