Provider Demographics
NPI:1528487964
Name:RABIN, DAVID (PHD, MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:RABIN
Suffix:
Gender:M
Credentials:PHD, MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1284 VISCAINO RD
Mailing Address - Street 2:
Mailing Address - City:PEBBLE BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:93953-3212
Mailing Address - Country:US
Mailing Address - Phone:415-686-2323
Mailing Address - Fax:
Practice Address - Street 1:1284 VISCAINO RD
Practice Address - Street 2:
Practice Address - City:PEBBLE BEACH
Practice Address - State:CA
Practice Address - Zip Code:93953-3212
Practice Address - Country:US
Practice Address - Phone:518-227-1830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-14
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3103052084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry