Organization
BRIAN D. RUDIN, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN D RUDIN MD (PRESIDENT/CEO)
(805) 285-2225
Entity
Organization
Contact information
Practice address
696 HAMPSHIRE ROAD SUITE 180, WESTLAKE VILLAGE, CA 91361
(805) 285-2225
Mailing address
1014 S WESTLKE BLVD, PMB 14 171, WESTLAKE VILLAGE, CA 91361
(805) 285-2225
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A75433
CA
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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