Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | G33407 | CA |
NPI | 1467568105 |
---|---|
Provider Name | Dr. Ronald L. Rubenstein |
First Address | San Leandro, CA 94578-2632 |
Second Address | San Leandro, CA 94578-2632 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2006 |
Last Update Date | 30/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G334070 | (05) | CA |
040016292 | RAILROAD MEDICARE NUMBER (01) | CA |
A45537 | (02) | CA |