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NPI Code Detail

MEDICARE: SERGIO R RUBIO M.D.

MEDICARE: SERGIO R RUBIO M.D.
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
1207R00000XInternal Medicine PhysicianA154284CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1A154284OTHERCAMEDICAL BOARD OF CALIFORNIA

General Provider Information

NPI Number : 1639520935
Entity Type Code : Individual
Provider Name (Legal Business Name) : SERGIO R RUBIO M.D.
Provider Business Mailing Address
First Line : 515 E MICHELTORENA ST STE C
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-4223
Country : US
Telephone Number : 805-563-3234
Fax Number : 805-569-8358
Provider Business Practice Location Address
First Line : 515 E MICHELTORENA ST STE C
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93103-4223
Country : US
Telephone Number : 805-618-2109
Fax Number : 805-324-6315
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2016
Last Update Date : 12/30/2019

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