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GABRIEL RUBANENKO INC A MEDICAL CORPORATION NPI 1689888968


NPI Information

NPI: 1689888968
Provider Name: GABRIEL RUBANENKO INC A MEDICAL CORPORATION
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization
Address:
6200 WILSHIRE BLVD
SUITE 910
LOS ANGELES, CA
ZIP 90048
Phone: (323) 965-5088
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GABRIEL RUBANENKO INC A MEDICAL CORPORATION is an orthopaedic surgery in Los Angeles, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. GABRIEL RUBANENKO INC A MEDICAL CORPORATION NPI is 1689888968. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6200 WILSHIRE BLVD
SUITE 910
LOS ANGELES, CA
ZIP 90048-801
Phone: (323) 965-5088
Fax: (310) 274-1040

The provider's authorized official is Yeta Khalfin .
The authorized official title is Office Manager and has the following contact phone number (323) 965-5088.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/1/2010.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA39466CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A39466MEDICARE PINCALIFORNIA
200A394660MEDICAIDCALIFORNIA
3W20797MEDICARE PINCALIFORNIA
4D73178MEDICARE UPINCALIFORNIA
5A39466OTHERCALIFORNIASTATE LICENSE #

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: 5/5/2024

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