Provider Demographics
NPI:1053490490
Name:RUBIO, CASILDA JEAN (MD)
Entity Type:Individual
Prefix:
First Name:CASILDA
Middle Name:JEAN
Last Name:RUBIO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:747 52ND ST
Mailing Address - Street 2:EMERGENCY DEPARTMENT, CHILDREN'S HOSPITAL OAKLAND
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1809
Mailing Address - Country:US
Mailing Address - Phone:510-428-3888
Mailing Address - Fax:
Practice Address - Street 1:747 52ND ST
Practice Address - Street 2:EMERGENCY DEPARTMENT, CHILDREN'S HOSPITAL OAKLAND
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1809
Practice Address - Country:US
Practice Address - Phone:510-428-3888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-05
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA0451222080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine