Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | E3529 | CA |
Y | 222Z00000X | Podiatrist | E3529 | CA |
NPI | 1063522472 |
---|---|
Provider Name | Edward Rubinstein |
First Address | San Francisco, CA 94115-3467 |
Second Address | San Francisco, CA 94115-3467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 09/04/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3925622 | (05) | CA |
T51453 | (02) | CA |