| Richard L Buccigross Md A Medical Corporation | |
|
4550 Kearny Villa Rd Suite 214 San Diego CA 92123-1578 | |
| (858) 565-0900 | |
| Not Available |
| Full Name | Richard L Buccigross Md A Medical Corporation |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4550 Kearny Villa Rd, San Diego, California |
| Authorized Official Name and Position | Richard Leslie Buccigross (PRESIDENT) |
| Authorized Official Contact | 8585650900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Buccigross Md A Medical Corporation 4550 Kearny Villa Rd Suite 214 San Diego CA 92123-1578 Ph: (858) 565-0900 | Richard L Buccigross Md A Medical Corporation 4550 Kearny Villa Rd Suite 214 San Diego CA 92123-1578 Ph: (858) 565-0900 |
| NPI Number | 1841438413 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 02/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841438413 | NPI | - | NPPES |
| 00G311850 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | G31185 (California) | Primary |
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