| Ruben A Ezquerro, DPM | |
|
21500 Pioneer Blvd, Ste 104, Hawaiian Gardens, CA 90716-2600 | |
| (562) 402-5311 | |
| (562) 402-1407 |
| Full Name | Ruben A Ezquerro |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 30 Years |
| Location | 21500 Pioneer Blvd, Hawaiian Gardens, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417950304 | NPI | - | NPPES |
| 000E40420 | Other | CA | BLUE SHIELD |
| 000E40420 | Medicaid | CA | |
| 000E40421 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E4042 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 9038 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Provider Name | Southern California Permanente Medical Group |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruben A Ezquerro, DPM Po Box 8877, Fountain Valley, CA 92728-8877 Ph: (562) 402-5311 | Ruben A Ezquerro, DPM 21500 Pioneer Blvd, Ste 104, Hawaiian Gardens, CA 90716-2600 Ph: (562) 402-5311 |
Ruben Ezquerro Dpm Inc Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 21500 Pioneer Blvd, Suite 107, Hawaiian Gardens, CA 90716 Phone: 562-402-5311 Fax: 562-402-1407 | |
Euclid Foot Clinic Podiatry Group, Inc. Podiatrist Medicare: Medicare Enrolled Practice Location: 21500 Pioneer Blvd, Suite 107, Hawaiian Gardens, CA 90716 Phone: 562-402-5311 Fax: 562-402-1407 |