| Robert A. Ruelaz, Md Pc | |
|
801 S Chevy Chase Dr Suite 108 Glendale CA 91205-4431 | |
| (818) 246-2456 | |
| Not Available |
| Full Name | Robert A. Ruelaz, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 801 S Chevy Chase Dr, Glendale, California |
| Authorized Official Name and Position | Paul Bernard (PRESIDENT) |
| Authorized Official Contact | 8189324656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert A. Ruelaz, Md Pc 801 S Chevy Chase Dr Suite 108 Glendale CA 91205-4431 Ph: (818) 246-2456 | Robert A. Ruelaz, Md Pc 801 S Chevy Chase Dr Suite 108 Glendale CA 91205-4431 Ph: (818) 246-2456 |
| NPI Number | 1942505490 |
|---|---|
| Provider Enumeration Date | 01/13/2011 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 1153504436 |
|---|---|
| Medicare Enrollment ID | O20110323000961 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942505490 | NPI | - | NPPES |
| A78097 | Other | CA | CA LICENSE # |
| Provider Name | Robert A Ruelaz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1881749026 PECOS PAC ID: 5597847723 Enrollment ID: I20080128000319 |
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