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NPI Code Detail

MEDICARE: MR. RUBEN URIBE

MEDICARE: MR. RUBEN URIBE
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
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1831218270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RUBEN URIBE
Provider Business Mailing Address
First Line : 2677 ZOE AVE STE 304
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-3699
Country : US
Telephone Number : 323-346-0960
Fax Number :
Provider Business Practice Location Address
First Line : 2677 ZOE AVE STE 304
Second Line :
City : HUNTINGTON PARK
State : CA
Zip : 90255-3699
Country : US
Telephone Number : 323-346-0960
Fax Number : 323-346-0966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2007
Last Update Date : 06/25/2019

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Directions to “ MR. RUBEN URIBE ” Practice Location

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