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NPI Code Detail

MEDICARE: MR. MOISES JESUS RUBALCAVA-MARIN

MEDICARE:  MR. MOISES JESUS RUBALCAVA-MARIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1285578179
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MOISES JESUS RUBALCAVA-MARIN
Provider Business Mailing Address
First Line : 134 CENTRAL AVE
Second Line :
City : SALINAS
State : CA
Zip : 93901-2651
Country : US
Telephone Number : 831-208-6207
Fax Number : 844-209-1290
Provider Business Practice Location Address
First Line : 134 CENTRAL AVE
Second Line :
City : SALINAS
State : CA
Zip : 93901-2651
Country : US
Telephone Number : 831-208-6207
Fax Number : 844-209-1290
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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Directions to “ MR. MOISES JESUS RUBALCAVA-MARIN ” Practice Location

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