Sebastian Ross Pirruccello
Nuclear Medicine Specialist
1300 N Vermont Ave Dept Of Radiology
Los Angeles
, California 90027-6005
Sebastian Ross Pirruccello
Nuclear Medicine Specialist
1300 N Vermont Ave Dept Of Radiology
Los Angeles
, California 90027-6005
(909) 595-4365
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About
Features
Specialties
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Sebastian Ross Pirruccello
- Po Box 657
- West Covina, CA
- Zip : 91793-0657
- Fax : (909) 595-4365
- Phone : (909) 595-4595
Second Address
- Sebastian Ross Pirruccello
- 1300 N Vermont Ave Dept Of Radiology
- Los Angeles, CA
- Zip : 90027-6005
- Fax : (323) 913-4922
- Phone : (323) 913-4860
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine Specialist | A18609 | CA |
National Provider Identifier
| NPI | 1205940491 |
|---|---|
| Provider Name | Sebastian Ross Pirruccello |
| First Address | West Covina, CA 91793-0657 |
| Second Address | Los Angeles, CA 90027-6005 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/08/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A186090 | (05) | CA |
| A18609 | CA MEDICAL BOARD LIC (01) | CA |
| A21391 | (02) | CA |
| AP2031901 | DEA (01) | CA |
| WA18609A | PPIN (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.