Organization Name: | RUBEN S. CASABAR, INC. |
NPI Number: | 1649425026 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RUBEN SANGALANG CASABAR (OWNER) |
Mailing Address: | 6017 Atlantic Blvd Maywood |
State: | CA US |
Postal Code: | 902703118 |
Phone Number: | 3235608880 |
Fax Number: | 3235620288 |
NPI Enumeration Date: | 11/26/2008 |
NPI Last Update Date: | 03/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A47793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |