Healthcare Provider Details

I. General information

NPI: 1538096540
Provider Name (Legal Business Name): GABRIELA RUBALCAVA AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26726 CROWN VALLEY PKWY STE 210
MISSION VIEJO CA
92691-8006
US

IV. Provider business mailing address

26726 CROWN VALLEY PKWY STE 210
MISSION VIEJO CA
92691-8006
US

V. Phone/Fax

Practice location:
  • Phone: 949-276-4008
  • Fax: 949-364-7124
Mailing address:
  • Phone: 562-673-9449
  • Fax: 949-364-7124

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAU3755
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAU3755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: