Healthcare Provider Details

I. General information

NPI: 1023166642
Provider Name (Legal Business Name): RUBINSTEIN,SHERRIFFS AND CHEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S 6TH ST
FOWLER CA
93625-2439
US

IV. Provider business mailing address

PO BOX 189
FOWLER CA
93625-0189
US

V. Phone/Fax

Practice location:
  • Phone: 559-834-1614
  • Fax:
Mailing address:
  • Phone: 559-834-1614
  • Fax: 559-834-0015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: RITA NYE
Title or Position: BILLING SUPER
Credential:
Phone: 559-783-1181