MEDICARE: FRANK G. RUBINO M.D. INC.

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
1	208000000X	Pediatrics Physician
2	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1518272434
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRANK G. RUBINO M.D. INC.

Provider Business Mailing Address
First Line	:	10681 BOLSA AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-5223
Country	:	US
Telephone Number	:	714-554-2322
Fax Number	:	714-554-4367

Provider Business Practice Location Address
First Line	:	10681 BOLSA AVE
Second Line	:
City	:	GARDEN GROVE
State	:	CA
Zip	:	92843-5223
Country	:	US
Telephone Number	:	714-554-2322
Fax Number	:	714-554-4367

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. FRANK G RUBINO
Credential	:	M.D.
Telephone Number	:	714-554-2322

Provider Enumeration Date	:	08/16/2010
Last Update Date	:	09/03/2010

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