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
Phone: (562) 596-2246
Fax: (562) 799-0845
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659477685 | NPPES |
California | MEDICAID | 00G610700 |
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