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Individual

MR. LUIS A. RUBALCAVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH. D.

Contact information

Practice address
15233 VENTURA BLVD, SUITE 1204, SHERMAN OAKS, CA 91403-2201
(818) 906-2337
(818) 990-5143
Mailing address
15233 VENTURA BLVD, SUITE 1204, SHERMAN OAKS, CA 91403-2201
(818) 906-2337
(818) 990-5143

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY 22283
CA

Other

Enumeration date
10/15/2010
Last updated
10/15/2010
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