Richard Rustanto, MSN, RN - Registered Nurse in Montebello, CA

Richard Rustanto, MSN, RN is a Registered Nurse - Psychiatric/mental Health based in Montebello, California. Richard Rustanto is licensed to practice in California (license number 95051858) and his current practice location is 1600 W Beverly Blvd, Montebello, California. He can be reached at his office (for appointments etc.) via phone at (323) 887-1313.

NPI number for Richard Rustanto is 1780259515 and his current mailing address is 2705 Sunrise Way, Pomona, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780259515.

Contact Information

Richard Rustanto, MSN, RN
1600 W Beverly Blvd,
Montebello, CA 90640-3932
(323) 887-1313
Not Available

Map and Direction




Provider's Profile

Full NameRichard Rustanto
GenderMale
SpecialityRegistered Nurse - Psychiatric/mental Health
Location1600 W Beverly Blvd, Montebello, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780259515
  • Provider Enumeration Date: 05/24/2021
  • Last Update Date: 05/24/2021

Medical Identifiers

Medical identifiers for Richard Rustanto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780259515NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 95051858 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Richard Rustanto is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Richard Rustanto, MSN, RN
2705 Sunrise Way,
Pomona, CA 91767-7014

Ph: (818) 585-3664
Richard Rustanto, MSN, RN
1600 W Beverly Blvd,
Montebello, CA 90640-3932

Ph: (323) 887-1313

Reviews and Comments


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Mrs. Man Kellie Ly, FNP
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Practice Location: 3106 W Beverly Blvd, Montebello, CA 90640
Phone: 323-728-1274    

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