GABRIEL RUBANENKO, INC., A MEDICAL CORPORATION
Suppliers at Wilshire Blvd, Los Angeles, CA

License number
California A39466
Category
Suppliers
Type
Non-Pharmacy Dispensing Site
Owner
Name: GABRIEL V. RUBANENKO M.D.
Title: PRESIDENT
Phone: (323) 965-5088
Address
Address
6200 Wilshire Blvd SUITE 910, Los Angeles, CA 90048
National Provider ID: 1306276993
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GABRIEL RUBANENKO, INC., A MEDICAL CORPORATION

Los Angeles, CA

Industry:
Osteopathic Physician's Office Medical Doctor's Office, Orthopedics
Doing business as:
Gabriel Rubanenko<br>Gabriel Rubanenko MD
Registration:
Aug 18, 1983
Phone:
(323) 965-0488 (Phone)
Addresses:
6200 Wilshire Blvd #908, Los Angeles, CA 90048 (Physical)
6014 San Vicente Blvd, Los Angeles, CA 90036
State ID:
C1208829
Business type:
Articles of Incorporation
Medical Doctor, Orthopedic Surgeon Sports Medc , Orthopedic Surgeon Sports Medcn, Presidents:
Yeta Khalfin (Office Manager),Elmar Heimanson (Nurse Practitioner),Eta Khalfin (Principal),...
Agent:
Gabriel V Rubanenko,Los Angeles, CA 90048 (Physical)

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