MEDICARE: DR. BRIAN DAVID RUDIN M.D.

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	207XS0117X	Orthopaedic Surgery of the Spine Physician	A75433	CA

General Provider Information

NPI Number	:	1710943527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN DAVID RUDIN M.D.

Provider Business Mailing Address
First Line	:	696 HAMPSHIRE RD STE 180
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-4459
Country	:	US
Telephone Number	:	805-208-8192
Fax Number	:

Provider Business Practice Location Address
First Line	:	696 HAMPSHIRE RD
Second Line	:	SUITE 180
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-2699
Country	:	US
Telephone Number	:	805-285-2225
Fax Number	:	805-285-3291

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

Provider Enumeration Date	:	04/21/2006
Last Update Date	:	02/20/2026

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