Healthcare Provider Details

I. General information

NPI: 1144657537
Provider Name (Legal Business Name): CHALON ANN RUBINA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2013
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 E DEL MAR BLVD STE 12
PASADENA CA
91107-6709
US

IV. Provider business mailing address

2810 E DEL MAR BLVD STE 12
PASADENA CA
91107-6709
US

V. Phone/Fax

Practice location:
  • Phone: 626-675-4674
  • Fax: 626-768-7661
Mailing address:
  • Phone: 626-675-4674
  • Fax: 626-768-7661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number87431
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: