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Individual

DR. ALAN MICHAEL RUSHOVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15375 BARRANCA PKWY, STE H-105, IRVINE, CA 92618-2209
(949) 387-8111
(949) 387-6163
Mailing address
15375 BARRANCA PKWY, STE H-105, IRVINE, CA 92618-2209
(949) 387-8111
(949) 387-6163

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A42199
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A421990
CA
05
GR0057490
CA
Enumeration date
07/02/2005
Last updated
01/03/2014
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