Provider Demographics
NPI:1447402375
Name:RUBALCAVA, JEROD RUFINO (MA)
Entity type:Individual
Prefix:MR
First Name:JEROD
Middle Name:RUFINO
Last Name:RUBALCAVA
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Gender:M
Credentials:MA
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Mailing Address - Street 1:982 MISSION ST FL 2
Mailing Address - Street 2:UCSF, DEPT. OF PSYCHIATRY, CITYWIDE FORENSICS
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2911
Mailing Address - Country:US
Mailing Address - Phone:415-597-8093
Mailing Address - Fax:415-597-8004
Practice Address - Street 1:982 MISSION ST FL 2
Practice Address - Street 2:UCSF, DEPT. OF PSYCHIATRY, CITYWIDE FORENSICS
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103-2911
Practice Address - Country:US
Practice Address - Phone:415-597-8093
Practice Address - Fax:415-597-8004
Is Sole Proprietor?:No
Enumeration Date:2008-10-22
Last Update Date:2011-01-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health