Individual
DR. LAWRENCE IRA RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1045 W REDONDO BCH BLVD, SUITE 250, GARDENA, CA 90247
(310) 323-2887
(310) 323-8609
Mailing address
1045 W REDONDO BEACH BLVD, SUITE 250, GARDENA, CA 90247-4128
(310) 323-2887
(310) 323-8609
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E1602
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E16020
—
CA
01
—
4800826706
RAILROAD
CA
Enumeration date
09/13/2006
Last updated
02/06/2014
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