Gabriel Rubanenko Inc A Medical Corporation

LBN: Gabriel Rubanenko Inc A Medical Corporation
Gabriel Rubanenko Inc A Medical Corporation is an health care organization with primary practice located at 6200 Wilshire Blvd Suite 910, Los Angeles CA 90048-5801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as the primary health care specialty. Gabriel Rubanenko Inc A Medical Corporation can be contacted via phone (323) 965-5088, or through Khalfin, Yeta via phone (323) 965-5088.

Contact Information

Primary practice address
6200 Wilshire Blvd Suite 910 Los Angeles CA 90048-5801
Fax: (310) 274-1040
Website:
Authorized official contact:
Name: Khalfin, Yeta

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X A39466 California

Profile Details

NPI number 1689888968
LBN Legal business name Gabriel Rubanenko Inc A Medical Corporation
DBA Doing business as
Authorized official Khalfin, Yeta
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2007
Last updated Mar 1st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689888968 NPPES
California Other A39466 STATE LICENSE #
California MEDICAID 00A394660 STATE LICENSE #

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