Rutgers, Joanne K. L.

Rutgers, Joanne K. L. is an individual health care provider with primary practice located at 8700 Beverly Blvd Dept Of Pathology, West Hollywood CA 90048-1804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Rutgers, Joanne K. L. can be contacted via phone (310) 423-6623.

Contact Information

Primary practice address
8700 Beverly Blvd Dept Of Pathology West Hollywood CA 90048-1804
Phone: (310) 423-6623
Fax: (310) 423-0122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X G60455 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G60455 California

Profile Details

NPI number 1750343604
LBN Legal business name Rutgers, Joanne K. L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2006
Last updated May 16th, 2014 - about 10 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 1750343604 NPPES
California MEDICAID 00G604550

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