Organization
PACIFIC CARDIOVASCULAR ASSOCIATES MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH MICHAEL RUGGIO M.D. (PRESIDENT, C.E.O.)
(714) 445-0220
Entity
Organization
Contact information
Practice address
3080 BRISTOL ST, #600, COSTA MESA, CA 92626-3093
(714) 445-0220
(714) 445-0245
Mailing address
3080 BRISTOL ST, SUITE 600, COSTA MESA, CA 92626-3093
(714) 445-0220
(714) 445-0245
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0063770
—
CA
Enumeration date
06/17/2006
Last updated
12/13/2012
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