| Horst R. Rudrich Medical Corporation | |
|
255 Terracina Blvd Ste. 105 Redlands CA 92373-4870 | |
| (909) 793-0323 | |
| (909) 793-9173 |
| Full Name | Horst R. Rudrich Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 255 Terracina Blvd, Redlands, California |
| Authorized Official Name and Position | Horst R Rudrich (PHYSICIAN / PRESIDENT) |
| Authorized Official Contact | 9097983061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horst R. Rudrich Medical Corporation 1574 Edgehill Ln Redlands CA 92373-6523 Ph: (909) 798-3061 | Horst R. Rudrich Medical Corporation 255 Terracina Blvd Ste. 105 Redlands CA 92373-4870 Ph: (909) 793-0323 |
| NPI Number | 1740452259 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740452259 | NPI | - | NPPES |
| 080190100 | Other | CA | MEDICARE RAILROAD |
| 020A59701 | Other | CA | MEDICARE ID |
| 00AX59700 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 20A5970 (California) | Primary |
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