Healthcare Provider Details

I. General information

NPI: 1649544552
Provider Name (Legal Business Name): RUBICON PROGRAMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/24/2012
Last Update Date: 04/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1410 DANZIG PLZ SUITE 102
CONCORD CA
94520-7979
US

IV. Provider business mailing address

2500 BISSELL AVE
RICHMOND CA
94804-1815
US

V. Phone/Fax

Practice location:
  • Phone: 925-399-8749
  • Fax:
Mailing address:
  • Phone: 510-235-1516
  • Fax: 510-235-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JANE FISCHBERG
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 510-231-3987