Healthcare Provider Details

I. General information

NPI: 1467630228
Provider Name (Legal Business Name): MRS. INESSA RUBINSHTEYN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 05/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1539 SLOAT BLVD
SAN FRANCISCO CA
94132-1222
US

IV. Provider business mailing address

1101 BRICKELL AVE STE N1700
MIAMI FL
33131-3105
US

V. Phone/Fax

Practice location:
  • Phone: 415-504-1505
  • Fax:
Mailing address:
  • Phone: 650-378-8509
  • Fax: 650-378-8549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3916
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: