Individual
RICHARD BRUCE JURMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-2732
(310) 815-1650
Mailing address
9808 VENICE BLVD, SUITE 503, CULVER CITY, CA 90232-2732
(310) 815-1650
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A22905
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A229050
—
CA
01
—
061986708
RAILROAD MEDICARE PROV #
CA
Enumeration date
07/06/2006
Last updated
07/09/2010
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