Individual
DENISE RUBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
136 N 3RD ST, LOMPOC, CA 93436-7002
(805) 736-1253
(805) 736-5355
Mailing address
PO BOX 2700, LOMPOC, CA 93438-2700
(805) 736-1253
(805) 736-5355
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
G58475
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
G56475
CA
Other
Enumeration date
02/04/2009
Last updated
06/02/2020
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