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Organization

J NATHAN RUBIN M.D.

Active
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Organization

J NATHAN RUBIN M.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TAWNEY PENUELA BSN, MBA (ADMINISTRATOR GENERAL MANAGER)
(818) 367-1012
Entity
Organization

Contact information

Practice address
14124 FOOTHILL BLVD, SYLMAR, CA 91342-8049
(818) 367-1012
(818) 364-2909
Mailing address
14124 FOOTHILL BLVD, SYLMAR, CA 91342-8049
(818) 367-1012
(818) 364-2909

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
G53079
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G530790
CA
Enumeration date
03/28/2007
Last updated
08/22/2020
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