Gracia, Carlos Rueda
Gracia, Carlos Rueda is an individual health care provider with primary practice located at 5565 W Las Positas Blvd Suite 220, Pleasanton CA 94588-4001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Gracia, Carlos Rueda can be contacted via phone (925) 416-3676.Contact Information
Primary practice address
5565 W Las Positas Blvd Suite 220
Pleasanton CA 94588-4001
Phone: (925) 416-3676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G45842 | California |
Profile Details
| NPI number | 1972525053 |
|---|---|
| LBN Legal business name | Gracia, Carlos Rueda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Dec 1st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972525053 | NPPES |
| California | MEDICAID | 00G458420 |
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