Individual
STANLEY W. RUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15651 IMPERIAL HWY, SUITE # 105, LA MIRADA, CA 90638-1628
(563) 943-7219
(562) 943-2684
Mailing address
PO BOX 686, ATTENTION: MAGGIE NOLES MS 6160, ARTESIA, CA 90702-0686
(562) 741-4461
(562) 741-4413
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
G28516
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014609
HEALTH NET ID #
—
01
—
0G285160
BLUE SHIELD ID #
—
01
—
110060909
RAILROAD MEDICARE
CA
01
—
110060909
RAILROAD
—
Enumeration date
06/08/2006
Last updated
05/16/2009
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