| Raymond S. Ruzicano, M.d.inc | |
|
112 La Casa Via Suite 345 Walnut Creek CA 94598-3091 | |
| (925) 943-1400 | |
| Not Available |
| Full Name | Raymond S. Ruzicano, M.d.inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 112 La Casa Via, Walnut Creek, California |
| Authorized Official Name and Position | Raymondr S Ruzicano (OWNER) |
| Authorized Official Contact | 9259431400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raymond S. Ruzicano, M.d.inc 112 La Casa Via Suite 345 Walnut Creek CA 94598-3091 Ph: (925) 943-1400 | Raymond S. Ruzicano, M.d.inc 112 La Casa Via Suite 345 Walnut Creek CA 94598-3091 Ph: (925) 943-1400 |
| NPI Number | 1023367398 |
|---|---|
| Provider Enumeration Date | 09/02/2012 |
| Last Update Date | 09/02/2012 |
| Medicare PECOS PAC ID | 0143471318 |
|---|---|
| Medicare Enrollment ID | O20121116000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023367398 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | G33140 (California) | Primary |
| Provider Name | Raymond S Ruzicano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811062508 PECOS PAC ID: 5799715660 Enrollment ID: I20050819000672 |
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