Organization · Type 2 NPI

Gabriel Rubanenko, Inc., A Medical Corporation

Non-Pharmacy Dispensing Site · Los Angeles, CA

NPI number 1306276993 Active

Practice location

6200 Wilshire Blvd, Suite 910
Los Angeles, CA 90048-5801

Mailing address

2980 N Beverly Glen Cir, Suite 301
Los Angeles, CA 90077-1726

Specialties and licenses

TaxonomyCodeLicense
Non-Pharmacy Dispensing Site Primary 332900000XA39466 (CA)

Non-Pharmacy Dispensing Site: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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About NPI 1306276993

Gabriel Rubanenko, Inc., A Medical Corporation's National Provider Identifier is 1306276993, issued on Nov 18, 2013. The primary taxonomy on file is Non-Pharmacy Dispensing Site (332900000X), and the practice location is in Los Angeles, CA. The record was last updated on Nov 18, 2013.