Doctor Name: | MR. BENNY RUBIO |
NPI Number: | 1275906513 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RAS 2/ C.A.T.C |
License Number: | |
Business Practice Address: | 14660 Oxnard St Van Nuys, CA - 914113119 |
Business Phone Number: | 8183593179 |
Business Fax Number: | |
Mailing Address: | 14660 Oxnard St, VAN NUYS |
State: | CA |
Postal Code: | 914113119 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/09/2015 |
NPI Last Update Date: | 11/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Rehabilitation Practitioner |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |