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NPI Code Detail

MEDICARE: LINDA RUBINO PA-C

MEDICARE:   LINDA  RUBINO  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant15231CA

General Provider Information

NPI Number : 1114054889
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA RUBINO PA-C
Provider Business Mailing Address
First Line : 4531 ALAMO ST
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93063-1734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4531 ALAMO ST
Second Line :
City : SIMI VALLEY
State : CA
Zip : 93063-1734
Country : US
Telephone Number : 805-520-3248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 08/15/2007

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Directions to “ LINDA RUBINO PA-C” Practice Location

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