Individual
DR. CARLOS RUEDA GRACIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5565 W LAS POSITAS BLVD, SUITE 220, PLEASANTON, CA 94588-4001
(925) 416-3676
Mailing address
5565 W LAS POSITAS BLVD, SUITE 220, PLEASANTON, CA 94588-4001
(925) 416-3676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G45842
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G458420
—
CA
Enumeration date
07/24/2006
Last updated
12/01/2014
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