Ruder, Robert Owen

Ruder, Robert Owen is an individual health care provider with primary practice located at 8816 Burton Way First Floor , Beverly Hills CA 90211-1715. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Ruder, Robert Owen can be contacted via phone (310) 285-9612.

Contact Information

Primary practice address
8816 Burton Way First Floor Beverly Hills CA 90211-1715
Fax: (310) 285-9615
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G21536 California

Profile Details

NPI number 1417049024
LBN Legal business name Ruder, Robert Owen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 17 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 1417049024 NPPES
California MEDICAID 00G215360

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