Provider Demographics
NPI:1003029166
Name:RUBENSTEIN, RICHARD ARNOLD (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ARNOLD
Last Name:RUBENSTEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 BALTIMORE AVENUE
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94939-2016
Mailing Address - Country:US
Mailing Address - Phone:415-924-1340
Mailing Address - Fax:415-924-5259
Practice Address - Street 1:3220 BLUME DRIVE
Practice Address - Street 2:SUITE 151 PLAZA ONE BUILDING
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806
Practice Address - Country:US
Practice Address - Phone:510-243-2380
Practice Address - Fax:510-243-2382
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG2653702084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A43030Medicare UPIN