Individual
MIGUEL RUVALCABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
5111 EUREKA AVE, YORBA LINDA, CA 92886-3970
(562) 534-8473
Mailing address
5111 EUREKA AVE, YORBA LINDA, CA 92886-3970
(562) 534-8473
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201501589NP-PP
OR
363LF0000X
Family Nurse Practitioner
NP95003841
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
201601589NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
NP95003841
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500711426
—
OR
Enumeration date
07/20/2016
Last updated
03/20/2025
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