# JOSEPH F RUDA JR MD (A MEDICAL CORPORATION )

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467673327
- **Authorized official:** DR. JOSEPH FRANK RUDA JR. PYSICIAN MD (PRESIDENT)
- **Authorized official phone:** (559) 332-2015

## Contact information

- **Practice address:** 31671 INDIAN GUIDE RD, SQUAW VALLEY, CA 93675-9676
- **Practice address phone:** (559) 332-2015
- **Practice address fax:** (559) 332-9105
- **Mailing address:** 31671 INDIAN GUIDE RD, SQUAW VALLEY, CA 93675-9676
- **Mailing address phone:** (559) 332-2015
- **Mailing address fax:** (559) 332-9105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A324630 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 04/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A324630 | — | CA |