Individual
DR. BRUCE D RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2301
Mailing address
16950 VIA TAZON, SAN DIEGO, CA 92127-1607
(858) 521-2301
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C34112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C341120
—
CA
Enumeration date
08/14/2006
Last updated
12/19/2007
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