Organization
JACK RUBIN MD, A PROF CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA PLEITEZ (MANAGER)
(562) 491-9060
Entity
Organization
Contact information
Practice address
10941 BLOOMFIELD ST, LOS ALAMITOS, CA 90720-2530
(562) 596-1667
Mailing address
PO BOX 1127, LOS ALAMITOS, CA 90720-1127
(562) 596-1667
(562) 432-2197
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084690
—
CA
Enumeration date
08/10/2007
Last updated
03/06/2008
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