Rubin, Jacob Nathan
Rubin, Jacob Nathan is an sole proprietor health care provider with primary practice located at 4940 Van Nuys Blvd Suite 200, Sherman Oaks CA 91403-1741. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Rubin, Jacob Nathan can be contacted via phone (818) 501-1455.Contact Information
Primary practice address
4940 Van Nuys Blvd Suite 200
Sherman Oaks CA 91403-1741
Phone: (818) 501-1455
Fax: (818) 528-1013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | G53079 | California |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | G53079 | California |
Profile Details
| NPI number | 1437151180 |
|---|---|
| LBN Legal business name | Rubin, Jacob Nathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 12th, 2005 |
| Last updated | Sep 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437151180 | NPPES |
| California | Other | ZZZ94648Z | BLUE SHEILD |
| California | Other | 95354702891403B004 | BLUE SHEILD |
| California | Other | W20900 | BLUE SHEILD |
| California | MEDICAID | 00G530790 | BLUE SHEILD |
| California | Other | 060011851 | BLUE SHEILD |
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