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NPI Code Detail

MEDICARE: LUCAS RIZKALLA MD

MEDICARE: LUCAS RIZKALLA MD
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
1207L00000XAnesthesiology PhysicianA203341CA

General Provider Information

NPI Number : 1063161560
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCAS RIZKALLA MD
Provider Business Mailing Address
First Line : 9350 THE RESORT PKWY UNIT 9911
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-9261
Country : US
Telephone Number : 714-905-4034
Fax Number :
Provider Business Practice Location Address
First Line : 2101 N WATERMAN AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92404-4836
Country : US
Telephone Number : 909-883-8711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2022
Last Update Date : 07/02/2026

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Directions to “ LUCAS RIZKALLA MD” Practice Location

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