Healthcare Provider Details
I. General information
NPI: 1780620013
Provider Name (Legal Business Name): MICHAEL P. RUBINSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/22/2006
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
680 LANGSDORF DR SUITE 103
FULLERTON CA
92831-3702
US
IV. Provider business mailing address
680 LANGSDORF DR SUITE 103
FULLERTON CA
92831-3702
US
V. Phone/Fax
- Phone: 714-879-0050
- Fax: 714-879-0249
- Phone: 714-879-0050
- Fax: 714-879-0249
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | G58799 |
| License Number State | CA |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207XS0106X |
| Taxonomy | Orthopaedic Hand Surgery Physician |
| License Number | G58799 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: