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Individual

LAD E RUBAUM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
14860 ROSCOE BLVD, NO 305, PANORAMA CITY, CA 91402
(818) 901-1535
(818) 901-0046
Mailing address
14860 ROSCOE BLVD, NO 305, PANORAMA CITY, CA 91402
(818) 901-1535
(818) 901-0046

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
00A307460
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A307461
CA
Enumeration date
09/28/2006
Last updated
03/25/2014
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