Jack Rubin M D A Professional Corporation

LBN: Jack Rubin M D A Professional Corporation
Jack Rubin M D A Professional Corporation is an health care organization with primary practice located at 1045 Atlantic Ave Suite 915, Long Beach CA 90813-3408. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Jack Rubin M D A Professional Corporation can be contacted via phone (562) 596-1667, or through Rubin, Jack via phone (562) 299-5239.

Contact Information

Primary practice address
1045 Atlantic Ave Suite 915 Long Beach CA 90813-3408
Phone: (562) 596-1667
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rubin, Jack Doctor of Medicine (MD)
Phone: (562) 299-5239

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1144416348
LBN Legal business name Jack Rubin M D A Professional Corporation
DBA Doing business as
Authorized official Rubin, Jack Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Dec 9th, 2015 - about 10 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 1144416348 NPPES
California MEDICAID GR0084691

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