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Individual

RICARDO DA ROZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
20055 LAKE CHABOT RD, #130, CASTRO VALLEY, CA 94546-5331
(510) 888-0657
(510) 886-4532
Mailing address
5725 W LAS POSITAS BLVD, #100, PLEASANTON, CA 94588-4054
(925) 734-8130
(925) 225-0121

Taxonomy

Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
C41444
CA
207RX0202X
Medical Oncology Physician
Primary
C41444
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00C414440
CA
01
110041014
RAILROAD MEDICARE
Enumeration date
06/20/2006
Last updated
10/01/2007
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