RICARDO ANDRE DECLET-BAUZO MD NPI 1588153647

NPI Information

  • NPI: 1588153647
  • Provider Name: RICARDO ANDRE DECLET-BAUZO, MD
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2330 UTAH AVE STE 200
    EL SEGUNDO, CA
    ZIP 90245
  • Phone: (281) 766-0959

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NPI Details

Ricardo Andre Declet-bauzo, MD is a diagnostic radiology radiology in El Segundo, CA with 6 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Ricardo Andre Declet-bauzo, MD NPI is 1588153647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2330 UTAH AVE STE 200
EL SEGUNDO, CA
ZIP 90245-817
Phone: (281) 766-0959

The NPI 1588153647 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2018 and was last updated on 1/9/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology166292FLORIDAYes

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: 3/30/2025

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