Individual
MR. RUBEN ISAAC MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95001052
CA
Other
Enumeration date
02/20/2018
Last updated
11/19/2023
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