| Ruben S. Casabar, M.d, Inc. | |
|
6021 Atlantic Blvd Maywood CA 90270-3118 | |
| (323) 484-9590 | |
| (323) 457-9103 |
| Full Name | Ruben S. Casabar, M.d, Inc. |
|---|---|
| Speciality | General Practice |
| Location | 6021 Atlantic Blvd, Maywood, California |
| Authorized Official Name and Position | Ruben Sangalang Casabar (OWNER) |
| Authorized Official Contact | 3234849590 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben S. Casabar, M.d, Inc. 6021 Atlantic Blvd Maywood CA 90270-3118 Ph: (323) 484-9590 | Ruben S. Casabar, M.d, Inc. 6021 Atlantic Blvd Maywood CA 90270-3118 Ph: (323) 484-9590 |
| NPI Number | 1649425026 |
|---|---|
| Provider Enumeration Date | 11/26/2008 |
| Last Update Date | 11/10/2022 |
| Medicare PECOS PAC ID | 9931347960 |
|---|---|
| Medicare Enrollment ID | O20130603000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649425026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A47793 (California) | Primary |
| Provider Name | Ruben S Casabar |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104910629 PECOS PAC ID: 0042207656 Enrollment ID: I20040427000577 |
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