Organization
ROBERT A. RUELAZ, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL BERNARD (PRESIDENT)
(818) 932-4656
Entity
Organization
Contact information
Practice address
801 S CHEVY CHASE DR, SUITE 108, GLENDALE, CA 91205-4431
(818) 246-2456
Mailing address
801 S CHEVY CHASE DR, SUITE 108, GLENDALE, CA 91205-4431
(818) 246-2456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A78097
CA
207RC0000X
Cardiovascular Disease Physician
A78097
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
A78097
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A78097
CA LICENSE #
CA
Enumeration date
01/13/2011
Last updated
09/30/2011
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