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NPI Code Detail

MEDICARE: DR. ROBERT A RUELAZ M.D.

MEDICARE:  DR. ROBERT A RUELAZ  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
1207R00000XInternal Medicine PhysicianU0052TX
2207RC0000XCardiovascular Disease PhysicianU0052TX
3207RC0000XCardiovascular Disease PhysicianA78097CA
4207RC0001XClinical Cardiac Electrophysiology PhysicianU0052TX
5207RC0001XClinical Cardiac Electrophysiology PhysicianA78097CA

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 : 1881749026
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT A RUELAZ M.D.
Provider Business Mailing Address
First Line : 4525 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1116
Country : US
Telephone Number : 818-660-0778
Fax Number : 855-578-3529
Provider Business Practice Location Address
First Line : 4525 E CESAR E CHAVEZ AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90022-1116
Country : US
Telephone Number : 818-660-0778
Fax Number : 855-578-3529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2007
Last Update Date : 10/28/2024

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Directions to “ DR. ROBERT A RUELAZ M.D.” Practice Location

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