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Individual

DR. ANTONIO RUELAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
258 E HARVARD BLVD, SANTA PAULA, CA 93060-3372
(805) 525-8622
Mailing address
5855 OLIVAS PARK DR, VENTURA, CA 93003-7672
(805) 667-2801

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A34343
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A34343
CA
Enumeration date
07/31/2006
Last updated
03/08/2021
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