Individual
DIRK D RUFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
26516 CRENSHAW BLVD, PALOS VERDES ESTATES, CA 90274-3970
(310) 541-7911
(310) 541-2953
Mailing address
26516 CRENSHAW BLVD, PALOS VERDES ESTATES, CA 90274-3970
(310) 541-7911
(310) 541-2953
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G48041
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G48041
MEDICAL LICENSE
CA
Enumeration date
06/16/2006
Last updated
07/08/2007
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