Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0203X | Pediatric Critical Care Doctor | A89957 | CA |
NPI | 1265746523 |
---|---|
Provider Name | Dr. Sarah Rubin |
First Address | Los Angeles, CA 90027 |
Second Address | Los Angeles, CA 90027-6062 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2010 |
Last Update Date | 30/03/2015 |