Healthcare Provider Details

I. General information

NPI: 1427224997
Provider Name (Legal Business Name): STEPHEN RABIN MD APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 06/15/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD STE 200
BEVERLY HILLS CA
90211-2144
US

IV. Provider business mailing address

150 N ROBERTSON BLVD STE 200
BEVERLY HILLS CA
90211-2144
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-9347
  • Fax:
Mailing address:
  • Phone: 310-652-9347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License NumberG29881
License Number StateCA

VIII. Authorized Official

Name: STEPHEN RABIN
Title or Position: OWNER
Credential: MD
Phone: 310-652-9347