Rucker, Richard Michael

Rucker, Richard Michael is an sole proprietor health care provider with primary practice located at 10931 Cherry St Suite 300, Los Alamitos CA 90720-2445. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rucker, Richard Michael can be contacted via phone (562) 596-2246.

Contact Information

Primary practice address
10931 Cherry St Suite 300 Los Alamitos CA 90720-2445
Fax: (562) 799-0845
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61070 California
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X G61070 California
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X G61070 California

Profile Details

NPI number 1659477685
LBN Legal business name Rucker, Richard Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2006
Last updated Nov 9th, 2012 - about 13 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 1659477685 NPPES
California MEDICAID 00G610700

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