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NPI Code Detail

MEDICARE: MR. RAMON SCRUGGS M.D.

MEDICARE: MR. RAMON SCRUGGS 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
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianG48978CA

General Provider Information

NPI Number : 1669552956
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RAMON SCRUGGS M.D.
Provider Business Mailing Address
First Line : 215 EL CAMINO REAL
Second Line :
City : TUSTIN
State : CA
Zip : 92780-3603
Country : US
Telephone Number : 714-669-0105
Fax Number : 714-734-8575
Provider Business Practice Location Address
First Line : 215 EL CAMINO REAL
Second Line :
City : TUSTIN
State : CA
Zip : 92780-3603
Country : US
Telephone Number : 714-669-0105
Fax Number : 714-734-8575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/08/2007

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