Healthcare Provider Details

I. General information

NPI: 1497696751
Provider Name (Legal Business Name): RUBEN HELMUT LAND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2660 SOLACE PL STE D2
MOUNTAIN VIEW CA
94040-4337
US

IV. Provider business mailing address

PO BOX 40193
SAN FRANCISCO CA
94140-0193
US

V. Phone/Fax

Practice location:
  • Phone: 650-209-8818
  • Fax:
Mailing address:
  • Phone: 510-399-5679
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberASW132308
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: