Healthcare Provider Details

I. General information

NPI: 1952667776
Provider Name (Legal Business Name): LAURA HELENA RUBINOS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2012
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 POTRERO AVE BLDG. 5, 6M
SAN FRANCISCO CA
94110-3518
US

IV. Provider business mailing address

550 16TH ST
SAN FRANCISCO CA
94158-2545
US

V. Phone/Fax

Practice location:
  • Phone: 628-206-8376
  • Fax:
Mailing address:
  • Phone: 214-648-3903
  • Fax: 214-648-2481

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA165147
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberA165147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: