Individual
GABRIEL V RUBANENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6200 WILSHIRE BLVD, SUITE 910, LOS ANGELES, CA 90048-5801
(323) 965-5088
(310) 274-1040
Mailing address
6200 WILSHIRE BLVD, SUITE 908, LOS ANGELES, CA 90048-5801
(323) 965-5088
(310) 274-1040
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A39466
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A394660
—
CA
Enumeration date
01/12/2006
Last updated
03/01/2010
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