Healthcare Provider Details

I. General information

NPI: 1083664593
Provider Name (Legal Business Name): STEVEN RUBINSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2006
Last Update Date: 11/23/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 E EL CAMINO REAL MEDICAL STAFF OFFICE
MOUNTAIN VIEW CA
94040-2833
US

IV. Provider business mailing address

2350 W EL CAMINO REAL 2ND FLOOR
MOUNTAIN VIEW CA
94040-6201
US

V. Phone/Fax

Practice location:
  • Phone: 650-934-7888
  • Fax:
Mailing address:
  • Phone: 650-934-3519
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License NumberG45231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: