Individual
MR. JUAN CARLOS RICAURTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 NORTH VERMONT AVE, SUITE 806, LOS ANGELES, CA 90027-6302
(323) 663-6790
(323) 663-6791
Mailing address
1300 NORTH VERMONT AVE, SUITE 806, LOS ANGELES, CA 90027-6302
(323) 663-6790
(323) 663-6791
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
070169
CA
207RI0200X
Infectious Disease Physician
A701690
CA
Other
Enumeration date
10/13/2005
Last updated
10/07/2014
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