Organization
INTEGRATED SPECIALTY MEDICAL ASSOCIATES IPA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK RUBIN M.D. (TREASURER)
(310) 538-1239
Entity
Organization
Contact information
Practice address
1515 W 190TH ST, SUITE 410, GARDENA, CA 90248-4319
(310) 538-1239
(310) 538-0929
Mailing address
1515 W 190TH ST, SUITE 410, GARDENA, CA 90248-4319
(310) 538-1239
(310) 538-0929
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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