Rullan, Peter P
Rullan, Peter P is an individual health care provider with primary practice located at 256 Landis Ave 3Rd Floor, Chula Vista CA 91910-2650. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Rullan, Peter P can be contacted via phone (619) 426-9600.Contact Information
Primary practice address
256 Landis Ave 3Rd Floor
Chula Vista CA 91910-2650
Phone: (619) 426-9600
Fax: (619) 426-4112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G42243 | California |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | G42243 | California |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | G42243 | California |
Profile Details
| NPI number | 1114963170 |
|---|---|
| LBN Legal business name | Rullan, Peter P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 7th, 2013 - about 11 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 | 1114963170 | NPPES |
| California | MEDICAID | ZZZ73699Z |
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