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Organization
HORST R. RUDRICH MEDICAL CORPORATION
Active
Organization
HORST R. RUDRICH MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HORST R RUDRICH D.O. (PHYSICIAN / PRESIDENT)
(909) 798-3061
Entity
Organization
Contact information
Practice address
255 TERRACINA BLVD, STE. 105, REDLANDS, CA 92373-4870
(909) 793-0323
(909) 793-9173
Mailing address
1574 EDGEHILL LN, REDLANDS, CA 92373-6523
(909) 798-3061
(909) 798-1221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A5970
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00AX59700
—
CA
01
—
020A59701
MEDICARE ID
CA
01
—
080190100
MEDICARE RAILROAD
CA
Enumeration date
03/25/2008
Last updated
03/12/2015
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