Provider Demographics
NPI:1194883900
Name:RUBIN, DANIEL AARON (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:AARON
Last Name:RUBIN
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13465 CAMINO CANADA # 106-115
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-8813
Mailing Address - Country:US
Mailing Address - Phone:619-370-5765
Mailing Address - Fax:
Practice Address - Street 1:13465 CAMINO CANADA # 106-115
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-8813
Practice Address - Country:US
Practice Address - Phone:619-370-5765
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA32142103TC0700X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical