Provider Demographics
NPI:1285773325
Name:RUBIN, DAVID F (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:F
Last Name:RUBIN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13949 VENTURA BLVD
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-3570
Mailing Address - Country:US
Mailing Address - Phone:818-986-8511
Mailing Address - Fax:898-991-1702
Practice Address - Street 1:13949 VENTURA BLVD
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91423-3570
Practice Address - Country:US
Practice Address - Phone:818-986-8511
Practice Address - Fax:898-991-1702
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALO5169731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical