Rubin, Jack E

Rubin, Jack E is an sole proprietor health care provider with primary practice located at 575 E Hardy St Suite 322, Inglewood CA 90301-4036. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Rubin, Jack E can be contacted via phone (310) 671-0488.

Contact Information

Primary practice address
575 E Hardy St Suite 322 Inglewood CA 90301-4036
Fax: (310) 671-7618
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G060194 California

Profile Details

NPI number 1346236205
LBN Legal business name Rubin, Jack E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2005
Last updated May 3rd, 2008 - about 16 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 1346236205 NPPES
California MEDICAID 00G60194

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