OrganizationGabriel Rubanenko, M.D. IncOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansPractice Address9033 Wilshire Blvd, Suite 401, Beverly Hills, CA 90211-1837(310) 274-5088PECOS EnrollmentBased on the most recent information from CMS, provider Gabriel Rubanenko, M.D. Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1174783849Provider TypeOrganizationFull NameGabriel Rubanenko, M.D. IncSubpartNoEnumeration Date6/16/2008Last Updated1/16/2009Contact InformationPractice LocationPractice Address9033 Wilshire Blvd, Suite 401, Beverly Hills, CA 90211-1837Phone(310) 274-5088Fax(310) 274-1040Mailing LocationMailing Address9033 Wilshire Blvd, Suite 401, Beverly Hills, CA 90211-1837Phone(310) 274-5088Fax(310) 274-1040Authorized OfficialNameKhalfin, Eta (M.D.)Phone(310) 274-5088Provider TaxonomiesCodeDescriptionLicenseCode207X00000XPrimaryDescriptionOrthopaedic SurgeryAllopathic & Osteopathic PhysiciansLicenseA39466California