Provider Demographics
NPI:1932488723
Name:RITA H RUBINSTEIN MD INC
Entity Type:Organization
Organization Name:RITA H RUBINSTEIN MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RITA
Authorized Official - Middle Name:H
Authorized Official - Last Name:RUBINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-990-9421
Mailing Address - Street 1:340 W. CENTRAL AVE.
Mailing Address - Street 2:#138
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3006
Mailing Address - Country:US
Mailing Address - Phone:714-990-9421
Mailing Address - Fax:714-990-1475
Practice Address - Street 1:340 W. CENTRAL AVE.
Practice Address - Street 2:SUITE 138
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821
Practice Address - Country:US
Practice Address - Phone:714-990-9421
Practice Address - Fax:914-990-1475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-10
Last Update Date:2011-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty