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NPI Code Detail

MEDICARE: DR. RYSZARD SKULSKI M.D.

MEDICARE: DR. RYSZARD SKULSKI M.D.
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
1207RC0000XCardiovascular Disease PhysicianA77010CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083611685
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYSZARD SKULSKI M.D.
Provider Business Mailing Address
First Line : PO BOX 2011
Second Line :
City : RANCHO MIRAGE
State : CA
Zip : 92270-1054
Country : US
Telephone Number : 760-773-0700
Fax Number : 760-773-0767
Provider Business Practice Location Address
First Line : 39000 BOB HOPE DR
Second Line : SUITE K-302
City : RANCHO MIRAGE
State : CA
Zip : 92270-3221
Country : US
Telephone Number : 760-773-0700
Fax Number : 760-773-0767
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 01/17/2022

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