Provider Demographics
NPI:1366526295
Name:RABIN, STEVEN A (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:A
Last Name:RABIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:STEVEN
Other - Middle Name:A
Other - Last Name:RABIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2701 W ALAMEDA AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4402
Mailing Address - Country:US
Mailing Address - Phone:818-843-8700
Mailing Address - Fax:818-330-4522
Practice Address - Street 1:10061 RIVERSIDE DR
Practice Address - Street 2:SUITE 288
Practice Address - City:TOLUCA LAKE
Practice Address - State:CA
Practice Address - Zip Code:91602-2560
Practice Address - Country:US
Practice Address - Phone:818-330-4522
Practice Address - Fax:818-330-4522
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036852207V00000X
CAG88913207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00564902AMedicaid
GAF22481Medicare UPIN
GA16BDDJRMedicare ID - Type Unspecified