JACK RUBIN MD A PROF CORPORATION NPI 1215129523

NPI Information

  • NPI: 1215129523
  • Provider Name: JACK RUBIN MD, A PROF CORPORATION
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 10941 BLOOMFIELD ST
    LOS ALAMITOS, CA
    ZIP 90720
  • Phone: (562) 596-1667

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NPI Details

JACK RUBIN MD, A PROF CORPORATION is a nephrology internal medicine in Los Alamitos, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. JACK RUBIN MD, A PROF CORPORATION NPI is 1215129523. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10941 BLOOMFIELD ST
LOS ALAMITOS, CA
ZIP 90720-530
Phone: (562) 596-1667

The provider's authorized official is Eva Pleitez .
The authorized official title is Manager and has the following contact phone number (562) 491-9060.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 3/6/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W14462MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2W14462MEDICARE PINCALIFORNIA
3GR0084690MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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