Individual
JOHN H CARRUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30210 RANCHO VIEJO RD, SUITE A, SAN JUAN CAPISTRANO, CA 92675
(949) 493-7337
(949) 373-1300
Mailing address
24422 AVENIDA DE LA CARLOTA STE 300, LAGUNA HILLS, CA 92653-3628
(949) 599-2434
(949) 599-2430
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G35292
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GROO8160
—
CA
Enumeration date
10/06/2006
Last updated
05/31/2022
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