| Ruby Jane Sia Md Inc | |
|
16124 Kasota Rd Ste C Apple Valley CA 92307 | |
| (760) 946-3888 | |
| (760) 242-0388 |
| Full Name | Ruby Jane Sia Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 16124 Kasota Rd, Apple Valley, California |
| Authorized Official Name and Position | Ruby Jane Sia (PRESIDENT) |
| Authorized Official Contact | 7609463888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Jane Sia Md Inc 16124 Kasota Rd Ste C Apple Valley CA 92307 Ph: (760) 946-3888 | Ruby Jane Sia Md Inc 16124 Kasota Rd Ste C Apple Valley CA 92307 Ph: (760) 946-3888 |
| NPI Number | 1336243690 |
|---|---|
| Provider Enumeration Date | 09/08/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1456245950 |
|---|---|
| Medicare Enrollment ID | O20040213000180 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336243690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Ruby Jane Sia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518061860 PECOS PAC ID: 5496658478 Enrollment ID: I20040128000562 |
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