Individual
BRANDON RUVALCABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, PMHNP
Contact information
Practice address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
(925) 282-1778
(415) 296-5299
Mailing address
1640 NEWPORT BLVD STE 110, COSTA MESA, CA 92627-7762
(925) 282-1778
(415) 296-5299
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030221
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN.471569
OH
Other
Enumeration date
07/01/2021
Last updated
06/11/2025
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