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Organization

PETER R. RUBENSTEIN M D A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER R RUBENSTEIN M.D., F.A.C.O.G (M.D.)
(818) 708-0700
Entity
Organization

Contact information

Practice address
18411 CLARK ST, SUITE 307, TARZANA, CA 91356-3506
(818) 708-0700
(818) 609-0918
Mailing address
18411 CLARK ST, SUITE 307, TARZANA, CA 91356-3506
(818) 708-0700
(818) 609-0918

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G19156
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G191560
CA
05
00G191561
CA
Enumeration date
02/07/2007
Last updated
04/30/2015
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