Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | A78753 | CA |
N | 207X00000X | Orthopaedic Surgeon | A787530 | CA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A78753 | CA |
NPI | 1376577411 |
---|---|
Provider Name | Dr. Roy Moshe Rubin |
First Address | Sacramento, CA 95825 |
Second Address | Sacramento, CA 95825 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 21/05/2010 |