Basic Information
| Provider Information | |||||||||
| NPI: | 1255427076 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LUBINSKY | ||||||||
| FirstName: | PAUL | ||||||||
| MiddleName: | S. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 455 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145098620 | ||||||||
| FaxNumber: | 7145093949 | ||||||||
| Practice Location | |||||||||
| Address1: | 455 S MAIN ST | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928683835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7145098620 | ||||||||
| FaxNumber: | 7145094072 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/05/2006 | ||||||||
| LastUpdateDate: | 11/27/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2080P0203X | A41539 | CA | Y | Allopathic & Osteopathic Physicians | Pediatrics | Pediatric Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 00A415390 | 05 | CA | MEDICAID |