Healthcare Provider Details

I. General information

NPI: 1750775342
Provider Name (Legal Business Name): DANA E RUBEN D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANA E FISZBEIN

II. Dates (important events)

Enumeration Date: 03/23/2015
Last Update Date: 03/10/2023
Certification Date: 03/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UCLA MEDICAL PLZ STE 265
LOS ANGELES CA
90095-4597
US

IV. Provider business mailing address

5767 W CENTURY BLVD STE 400
LOS ANGELES CA
90045-5631
US

V. Phone/Fax

Practice location:
  • Phone: 310-825-0867
  • Fax:
Mailing address:
  • Phone: 424-440-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036145627
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number20A18902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: