Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 20A 7207 | CA |
NPI | 1003980947 |
---|---|
Provider Name | Nancy Rubin |
First Address | Monterey, CA 93940-5750 |
Second Address | Monterey, CA 93940-5750 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 15/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020A72070 | (05) | CA |
I49732 | (02) | CA |