Organization
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION
Active
Parent organization
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELYSE RUBENSTEIN MD, A PROFESSIONAL CORPORATION
Authorized official
ELYSE RUBENSTEIN MD (PRESIDENT)
(310) 256-2425
Entity
Organization
Contact information
Practice address
1328 16TH ST, SANTA MONICA, CA 90404-1804
(310) 256-2425
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/28/2010
Last updated
03/01/2011
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