Provider Demographics
NPI:1205243326
Name:RUBENSTEIN, BELINDA G (PHARM D)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:G
Last Name:RUBENSTEIN
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12549 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-9317
Mailing Address - Country:US
Mailing Address - Phone:909-899-7742
Mailing Address - Fax:909-899-1470
Practice Address - Street 1:12549 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91739-9317
Practice Address - Country:US
Practice Address - Phone:909-899-7742
Practice Address - Fax:909-899-1470
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA40243183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPHY391110OtherSTATE LICENSE FOR PHARMACY