Individual
OLEG F RUBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1411 OLIVER RD STE 250, FAIRFIELD, CA 94534-3425
(707) 426-5407
(707) 426-6376
Mailing address
1411 OLIVER RD STE 250, FAIRFIELD, CA 94534-3425
(707) 426-5407
(707) 426-6376
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A81462
CA
207RN0300X
Nephrology Physician
Primary
A81462
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A814620
—
CA
01
—
ZZZ27071Z
MEDICARE CA NORTH GROUP
CA
Enumeration date
12/29/2005
Last updated
11/15/2024
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