Rubin, Jack

Rubin, Jack is an individual health care provider with primary practice located at 10941 Bloomfield St Suite A, Los Alamitos CA 90720-2530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Rubin, Jack can be contacted via phone (562) 596-1667.

Contact Information

Primary practice address
10941 Bloomfield St Suite A Los Alamitos CA 90720-2530
Phone: (562) 596-1667
Fax: (562) 596-7514
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G70182 California
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G70182 California

Profile Details

NPI number 1700882479
LBN Legal business name Rubin, Jack
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 15th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700882479 NPPES
California MEDICAID 00G701820

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