Dr. Lawrence Ira Rubin
Podiatrist
1045 W Redondo Bch Blvd Suite 250
Gardena
, California 90247
Dr. Lawrence Ira Rubin
Podiatrist
1045 W Redondo Bch Blvd Suite 250
Gardena
, California 90247
(310) 323-8609
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Dr. Lawrence Ira Rubin
- 1045 W Redondo Beach Blvd Suite 250
- Gardena, CA
- Zip : 90247-4128
- Fax : (310) 323-8609
- Phone : (310) 323-2887
Second Address
- Dr. Lawrence Ira Rubin
- 1045 W Redondo Bch Blvd Suite 250
- Gardena, CA
- Zip : 90247
- Fax : (310) 323-8609
- Phone : (310) 323-2887
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | E1602 | CA |
| Y | 222Z00000X | Podiatrist | E1602 | CA |
National Provider Identifier
| NPI | 1013012368 |
|---|---|
| Provider Name | Dr. Lawrence Ira Rubin |
| First Address | Gardena, CA 90247-4128 |
| Second Address | Gardena, CA 90247 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2006 |
| Last Update Date | 06/02/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00E16020 | (05) | CA |
| 4800826706 | RAILROAD (01) | CA |
| T11004 | (02) | CA |
| V00413 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.