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JACK RUBIN M D A PROFESSIONAL CORPORATION NPI 1144416348


NPI Information

NPI: 1144416348
Provider Name: JACK RUBIN M D A PROFESSIONAL CORPORATION
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1045 ATLANTIC AVE
SUITE 915
LONG BEACH, CA
ZIP 90813
Phone: (562) 596-1667
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JACK RUBIN M D A PROFESSIONAL CORPORATION is a nephrology internal medicine in Long Beach, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. JACK RUBIN M D A PROFESSIONAL CORPORATION NPI is 1144416348. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1045 ATLANTIC AVE
SUITE 915
LONG BEACH, CA
ZIP 90813-408
Phone: (562) 596-1667

The provider's authorized official is Jack Rubin .
The authorized official title is Owner and has the following contact phone number (562) 299-5239.

The enumeration date for this NPI number is 9/20/2007 and was last updated on 12/9/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0084691MEDICAIDCALIFORNIA
2W14462AMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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