Healthcare Provider Details

I. General information

NPI: 1831420751
Provider Name (Legal Business Name): STEVEN B. RUBINS, M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2010
Last Update Date: 01/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

435 N ROXBURY DR SUITE 300
BEVERLY HILLS CA
90210-5027
US

IV. Provider business mailing address

435 N ROXBURY DR SUITE 300
BEVERLY HILLS CA
90210-5027
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-7420
  • Fax: 310-278-5765
Mailing address:
  • Phone: 310-550-7420
  • Fax: 310-278-5765

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN B RUBINS
Title or Position: PRESIDENT
Credential: MEDICAL DOCTOR
Phone: 310-550-7420