Pugach, Robert Glenn

Pugach, Robert Glenn is an individual health care provider with primary practice located at 3801 Katella Ave Ste 110, Los Alamitos CA 90720-3371. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Pugach, Robert Glenn can be contacted via phone (562) 594-0860.

Contact Information

Primary practice address
3801 Katella Ave Ste 110 Los Alamitos CA 90720-3371
Phone: (562) 594-0860
Fax: (562) 594-9010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X A41822 California

Profile Details

NPI number 1780687319
LBN Legal business name Pugach, Robert Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2005
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780687319 NPPES
California MEDICAID 00A418220

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