Individual
MR. BENNY RUBIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-CAS C0555020518
Contact information
Practice address
16650 SHERMAN WAY, VAN NUYS, CA 91406-3782
(818) 378-4921
Mailing address
14660 OXNARD ST, VAN NUYS, CA 91411-3119
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
11/09/2015
Last updated
07/11/2023
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