Provider Demographics
NPI:1902195522
Name:RUBINSHTEYN, ZLATA S
Entity Type:Individual
Prefix:MRS
First Name:ZLATA
Middle Name:S
Last Name:RUBINSHTEYN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N HAYWORTH AVE APT 10
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90046-3832
Mailing Address - Country:US
Mailing Address - Phone:323-823-2122
Mailing Address - Fax:
Practice Address - Street 1:1411 N HAYWORTH AVE APT 10
Practice Address - Street 2:
Practice Address - City:WEST HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:90046-3832
Practice Address - Country:US
Practice Address - Phone:323-823-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist