1881993814 NPI number — S. RUBIN, M.D. PAIN, INC

Table of content: (NPI 1881993814)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881993814 NPI number — S. RUBIN, M.D. PAIN, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
S. RUBIN, M.D. PAIN, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881993814
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/03/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
200 PACIFIC COAST HWY UNIT 449
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTINGTON BEACH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92648-5198
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-257-7572
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16300 SAND CANYON AVE
Provider Second Line Business Practice Location Address:
#904
Provider Business Practice Location Address City Name:
IRVINE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92618-3711
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-257-7572
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RUBIN
Authorized Official First Name:
SONNY
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
310-257-7572

Provider Taxonomy Codes

  • Taxonomy code: 208VP0014X , with the licence number:  A76500 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)