Edmundo R. Rubio MD Inc.

NPI #1104011154 in Paramount, California

Provider Information

NPI Number: 1104011154
Entity Type: Organization
Organization Name: Edmundo R. Rubio MD Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: EDMUNDO R. RUBIO MD INC.
Primary Specialty: Specialist
Enumeration Date: Sep 12, 2007
Last Updated: Sep 12, 2007

Practice Location

Address: 16660 PARAMOUNT BLVD
Address 2: SUITE 205
City: Paramount
State: California
ZIP Code: 90723-5433
Phone: (562) 531-3133

Authorized Official

Name: DR. EDMUNDO RICAFRENTE RUBIO, MD
Title: PHYSICIAN
Phone: (562) 531-3133

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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