Skoglund, Rayburn Russell
Skoglund, Rayburn Russell is an individual health care provider with primary practice located at 8010 Frost St Suite 510, San Diego CA 92123-2778. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Skoglund, Rayburn Russell can be contacted via phone (858) 966-6459.Contact Information
Primary practice address
8010 Frost St Suite 510
San Diego CA 92123-2778
Phone: (858) 966-6459
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | C28171 | California |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | C28171 | California |
Profile Details
| NPI number | 1760553523 |
|---|---|
| LBN Legal business name | Skoglund, Rayburn Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760553523 | NPPES |
| California | MEDICAID | 00C281710 |
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