Provider Demographics
NPI:1295994911
Name:RUBALCAVA, GABRIELA
Entity type:Individual
Prefix:MRS
First Name:GABRIELA
Middle Name:
Last Name:RUBALCAVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11204 ASHER ST
Mailing Address - Street 2:
Mailing Address - City:EL MONTE
Mailing Address - State:CA
Mailing Address - Zip Code:91731-3404
Mailing Address - Country:US
Mailing Address - Phone:626-917-1396
Mailing Address - Fax:626-919-0731
Practice Address - Street 1:11204 ASHER ST
Practice Address - Street 2:
Practice Address - City:EL MONTE
Practice Address - State:CA
Practice Address - Zip Code:91731-3404
Practice Address - Country:US
Practice Address - Phone:626-917-1396
Practice Address - Fax:626-919-0731
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner