Individual
PAUL KEITH RUBIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
9864 BALDWIN PL, EL MONTE, CA 91731-2202
(626) 433-1316
Mailing address
8461 VALLEY VIEW ST, BUENA PARK, CA 90620-2739
(714) 232-5605
(714) 826-7271
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
PT35590
CA
Other
Enumeration date
08/13/2011
Last updated
08/13/2011
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