Organization
ERVIN P. RUZICS, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERVIN PAUL RUZICS M.D. (PRESIDENT)
(714) 771-8033
Entity
Organization
Contact information
Practice address
1100 W STEWART DR, SEB 2ND FLOOR, KIDNEY TRANSPLANT, ORANGE, CA 92868-3849
(714) 771-8033
Mailing address
16396 ARDSLEY CIR, HUNTINGTON BEACH, CA 92649-2113
(714) 846-6731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G51676
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G516761
—
CA
01
—
G51676
MEDICARE ID
CA
01
—
G51676
MEDICAL LICENSE NUMBER
—
Enumeration date
09/28/2011
Last updated
09/28/2011
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