| Alan Ruttenberg Md Inc | |
|
22048 Sherman Way Suite 214 Canoga Park CA 91303-3001 | |
| (818) 888-8428 | |
| (818) 888-8495 |
| Full Name | Alan Ruttenberg Md Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 22048 Sherman Way, Canoga Park, California |
| Authorized Official Name and Position | Alan S Ruttenberg (OWNER) |
| Authorized Official Contact | 8188888428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan Ruttenberg Md Inc 22048 Sherman Way Suite 214 Canoga Park CA 91303-3001 Ph: (818) 888-8428 | Alan Ruttenberg Md Inc 22048 Sherman Way Suite 214 Canoga Park CA 91303-3001 Ph: (818) 888-8428 |
| NPI Number | 1497069421 |
|---|---|
| Provider Enumeration Date | 08/02/2010 |
| Last Update Date | 08/28/2015 |
| Medicare PECOS PAC ID | 8022132026 |
|---|---|
| Medicare Enrollment ID | O20100827000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497069421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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