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RUBEN EZQUERRO DPM INC NPI 1184946386


NPI Information

NPI: 1184946386
Provider Name: RUBEN EZQUERRO DPM INC
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
21500 PIONEER BLVD
SUITE 107
HAWAIIAN GARDENS, CA
ZIP 90716
Phone: (562) 402-5311
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RUBEN EZQUERRO DPM INC is a foot and ankle surgery podiatrist in Hawaiian Gardens, CA. RUBEN EZQUERRO DPM INC NPI is 1184946386. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21500 PIONEER BLVD
SUITE 107
HAWAIIAN GARDENS, CA
ZIP 90716-600
Phone: (562) 402-5311
Fax: (562) 402-1407

The provider's authorized official is Ruben Ezquerro .
The authorized official title is Owner and has the following contact phone number (562) 402-5311.

The enumeration date for this NPI number is 2/16/2010 and was last updated on 10/9/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213ES0103XPodiatristFoot & Ankle SurgeryE4042CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000E40420MEDICAIDCALIFORNIA
2U66662MEDICARE UPIN
3000E40421MEDICAIDCALIFORNIA
45183780001MEDICARE NSCCALIFORNIA
5CZ116AMEDICARE PINCALIFORNIA
6CZ116BMEDICARE PINCALIFORNIA
7E4042MEDICARE PINCALIFORNIA
8E4042BMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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