Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | G51676 | CA |
NPI | 1285789149 |
---|---|
Provider Name | Dr. Ervin Paul Ruzics |
First Address | Orange, CA 92868-3849 |
Second Address | Orange, CA 92868-3849 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2007 |
Last Update Date | 05/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G516761 | (05) | CA |
F01550 | (02) | CA |
G51676 | MEDICAL LICENSE NUMBER (01) | CA |