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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUCKER MEDICAL GROUP INC

Active Organization

RUCKER MEDICAL GROUP INC is a Family Medicine organization located in LOS ANGELES, California. NPI 1174801054 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · LOS ANGELES, CA

Registration Details

NPI Number
1174801054
Provider Type
Organization
NPI Issued
Jul 27, 2011 (15.047340238224 yrs)
Last Updated
Jul 27, 2011
License
A34349 (CA)

Practice Information

Address
5265 FOUNTAIN AVE
SUITE 1A
LOS ANGELES, CA, 900291300
Browse CA providers · Browse ZIP 90029
Phone
3236627764
Fax
3236627714
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.