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NPI Code Detail

MEDICARE: RSC MEDICAL GROUP, A PROFESSIONAL CORPORATION

MEDICARE: RSC MEDICAL GROUP, A PROFESSIONAL CORPORATION
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
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1619077013
Entity Type Code : Organization
Provider Name (Legal Business Name) : RSC MEDICAL GROUP, A PROFESSIONAL CORPORATION
Provider Business Mailing Address
First Line : 1334 N AVALON BLVD
Second Line :
City : WILMINGTON
State : CA
Zip : 90744-2639
Country : US
Telephone Number : 310-835-4000
Fax Number : 310-835-4012
Provider Business Practice Location Address
First Line : 1334 N. AVALON BLVD
Second Line :
City : WILMINGTON
State : CA
Zip : 90744-4516
Country : US
Telephone Number : 310-835-4000
Fax Number : 310-835-4012
Authorized Official
Title or Position : PRESIDENT
Name : RUBEN SANGALANG CASABAR
Credential : M.D.
Telephone Number : 310-835-4000
Provider Enumeration Date : 09/25/2006
Last Update Date : 09/18/2013

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