1104961663 NPI number — DR. ALBERT G RUEZGA, INC.

Table of content: (NPI 1104961663)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104961663 NPI number — DR. ALBERT G RUEZGA, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. ALBERT G RUEZGA, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104961663
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/18/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2340 E CALVADA BLVD
Provider Second Line Business Mailing Address:
1
Provider Business Mailing Address City Name:
PAHRUMP
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89048-5880
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
775-751-5888
Provider Business Mailing Address Fax Number:
775-751-1573

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2340 E CALVADA BLVD
Provider Second Line Business Practice Location Address:
1
Provider Business Practice Location Address City Name:
PAHRUMP
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89048-5880
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-751-5888
Provider Business Practice Location Address Fax Number:
775-751-1573
Provider Enumeration Date:
02/21/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
RUEZGA
Authorized Official First Name:
ALBERT
Authorized Official Middle Name:
G
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
775-751-5888

Provider Taxonomy Codes

  • Taxonomy code: 122300000X , with the licence number:  4065 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)