Individual
ROBERT F RUPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
436 S GLASSELL ST, ORANGE, CA 92866-1906
(714) 633-6060
(714) 633-7470
Mailing address
436 S GLASSELL ST, ORANGE, CA 92866-1906
(714) 633-6060
(714) 633-7470
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C30076
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C300760
—
CA
05
—
5710517
—
CA
01
—
ZZZ75971Z
BLUE SHIELD
CA
Enumeration date
05/24/2006
Last updated
10/15/2010
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