Organization
EDMUNDO R. RUBIO MD INC.
Active
Parent organization
EDMUNDO R. RUBIO MD INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EDMUNDO R. RUBIO MD INC.
Authorized official
DR. EDMUNDO RICAFRENTE RUBIO MD (PHYSICIAN)
(562) 531-3133
Entity
Organization
Contact information
Practice address
16660 PARAMOUNT BLVD, SUITE 205, PARAMOUNT, CA 90723-5433
(562) 531-3133
(562) 531-3204
Mailing address
16660 PARAMOUNT BLVD, SUITE 205, PARAMOUNT, CA 90723-5433
(562) 531-3133
(562) 531-3204
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A306699
LICENSE
CA
Enumeration date
09/12/2007
Last updated
09/12/2007
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