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Organization

DAVID A RUSKIN MD A PROFESSIONAL MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID RUSKIN MD (OWNER)
(213) 500-6995
Entity
Organization

Contact information

Practice address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-1311
Mailing address
31872 COAST HWY, LAGUNA BEACH, CA 92651-6773
(949) 499-1311

Taxonomy

Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
2084P0800X
Psychiatry Physician
Primary
2084P0802X
Addiction Psychiatry Physician

Other

Enumeration date
11/07/2024
Last updated
11/07/2024
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