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Organization
JUAN CARLOS RICAURTE MD INC PC
Active
Organization
JUAN CARLOS RICAURTE MD INC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN CARLOS RICAURTE M.D. (PRESIDENT)
(626) 320-6303
Entity
Organization
Contact information
Practice address
1300 NORTH VERMONT AVE, SUITE 806, LOS ANGELES, CA 90027-6302
(323) 663-6790
(323) 663-6791
Mailing address
1300 NORTH VERMONT AVE, SUITE 806, LOS ANGELES, CA 90027-6302
(323) 663-6790
(323) 663-6791
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A70169
CA
Other
Enumeration date
07/24/2009
Last updated
09/25/2014
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