Provider Demographics
NPI:1255775706
Name:RABIN, RICHARD LAWRENCE (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:LAWRENCE
Last Name:RABIN
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 1:1844 SAN MIGUEL DR STE 303
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-4963
Mailing Address - Country:US
Mailing Address - Phone:925-930-8100
Mailing Address - Fax:925-945-7458
Practice Address - Street 1:1844 SAN MIGUEL DR STE 303
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-4963
Practice Address - Country:US
Practice Address - Phone:925-930-8100
Practice Address - Fax:925-945-7458
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-25
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA138709207W00000X
OH35.130967207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty