Organization
SONNY RUBIN, M.D. INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONNY RUBIN MD (PRESIDENT)
(949) 933-7012
Entity
Organization
Contact information
Practice address
455 OLD NEWPORT BLVD, SUITE 101, NEWPORT BEACH, CA 92663-4241
(949) 933-7012
(949) 387-3380
Mailing address
455 OLD NEWPORT BLVD, SUITE 101, NEWPORT BEACH, CA 92663-4241
(949) 933-7012
(949) 387-3380
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A76500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A76500
LICENSE
CA
Enumeration date
09/09/2014
Last updated
09/09/2014
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