MEDICARE: MRS. RUBI ZELENA BROTHERS RN

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
1	174H00000X	Health Educator	781455	CA
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1215656681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RUBI ZELENA BROTHERS RN

Provider Business Mailing Address
First Line	:	39000 BOB HOPE DRIVE
Second Line	:	PROBST 100B
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270
Country	:	US
Telephone Number	:	760-773-1403
Fax Number	:	760-773-1880

Provider Business Practice Location Address
First Line	:	39000 BOB HOPE DRIVE
Second Line	:	PROBST 100B
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270
Country	:	US
Telephone Number	:	760-773-1403
Fax Number	:	760-773-1880

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/26/2022
Last Update Date	:	03/17/2026

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