Organization
GENNADY RUBINSTEIN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADY RUBINSTEIN MD (OWNER)
(818) 505-9300
Entity
Organization
Contact information
Practice address
3959 LAUREL CANYON BLVD STE F, STUDIO CITY, CA 91604-3711
(818) 505-9300
Mailing address
3959 LAUREL CANYON BLVD STE F, STUDIO CITY, CA 91604-3711
(818) 505-9300
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A749240
—
CA
Enumeration date
03/07/2008
Last updated
03/07/2008
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