Provider Demographics
NPI:1972539989
Name:RUBINSTEIN, ANDREA LYNN (MD)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:RUBINSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3559 ROUND BARN BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95403-1763
Mailing Address - Country:US
Mailing Address - Phone:707-571-3931
Mailing Address - Fax:707-284-9254
Practice Address - Street 1:3559 ROUND BARN BLVD
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95403-1763
Practice Address - Country:US
Practice Address - Phone:707-571-3931
Practice Address - Fax:707-284-9254
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-23
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA72039207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH27736Medicare UPIN