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NPI Code Detail

MEDICARE: RALPH RUEDA

MEDICARE: RALPH RUEDA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
21041C0700XClinical Social WorkerASW73483CA

General Provider Information

NPI Number : 1427406826
Entity Type Code : Individual
Provider Name (Legal Business Name) : RALPH RUEDA
Provider Business Mailing Address
First Line : 1486 HUNTINGTON AVE STE 100
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5971
Country : US
Telephone Number : 650-877-8642
Fax Number :
Provider Business Practice Location Address
First Line : 1486 HUNTINGTON AVE STE 100
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-5971
Country : US
Telephone Number : 650-877-8642
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2016
Last Update Date : 11/17/2016

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Directions to “ RALPH RUEDA ” Practice Location

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