Rubin Manavi, MD, Inc

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

A40040 Issued in CA

Legal business name

RUBIN MANAVI, MD, INC

Practice address

214 N Central Ave
Glendale, CA 91203-3556

Phone

(818) 241-0970

Fax

(818) 638-0024

NPI assigned

Apr 25, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Martha L Hernanadez

Title

Office Manager

Phone

(818) 241-0970

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013136035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-241-0970",
            "fax_number": "818-638-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 N CENTRAL AVE",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912033556",
            "telephone_number": "818-241-0970",
            "fax_number": "818-638-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBIN MANAVI, MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERNANADEZ",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-241-0970",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A40040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alexandra Rubalcaba, LMFT
• Maria de Los Angeles Rubio Hernandez
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• Danielle Rucci, PHYSICIAN ASSISTANT
• Laura Natalia Rudelir, M.A.
• Steven I. Rudoy, M.A.

• Multi-Specialty Clinic/Center in Glendale, CA
• Providers in Glendale, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.