Healthcare Provider Details

I. General information

NPI: 1821953910
Provider Name (Legal Business Name): ISABELLA RUBIO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

490 CHADBOURNE RD STE A131
FAIRFIELD CA
94534-1862
US

IV. Provider business mailing address

490 CHADBOURNE RD STE A131
FAIRFIELD CA
94534-1862
US

V. Phone/Fax

Practice location:
  • Phone: 707-341-9949
  • Fax: 707-402-6059
Mailing address:
  • Phone: 707-341-9949
  • Fax: 707-402-6059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: