| Irwin Ruben M.d. A Medical Corporation | |
|
416 N Bedford Dr #104 Beverly Hills CA 90210-4322 | |
| (310) 275-7219 | |
| Not Available |
| Full Name | Irwin Ruben M.d. A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 416 N Bedford Dr, Beverly Hills, California |
| Authorized Official Name and Position | Irwin Ruben (PRESIDENT) |
| Authorized Official Contact | 3102757219 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Irwin Ruben M.d. A Medical Corporation 416 N Bedford Dr #104 Beverly Hills CA 90210-4322 Ph: (310) 275-7219 | Irwin Ruben M.d. A Medical Corporation 416 N Bedford Dr #104 Beverly Hills CA 90210-4322 Ph: (310) 275-7219 |
| NPI Number | 1457624116 |
|---|---|
| Provider Enumeration Date | 02/10/2012 |
| Last Update Date | 02/10/2012 |
| Medicare PECOS PAC ID | 7416116173 |
|---|---|
| Medicare Enrollment ID | O20120315000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457624116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G22719 (California) | Primary |
| Provider Name | Irwin Ruben |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386660645 PECOS PAC ID: 8325207087 Enrollment ID: I20120315000652 |
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