RICHARD RUSTANTO MSN RN NPI 1780259515

NPI Information

NPI: 1780259515
Provider Name: RICHARD RUSTANTO, MSN, RN
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1600 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 887-1313
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Richard Rustanto, MSN, RN is a psychiatric/mental health registered nurse in Montebello, CA. Richard Rustanto, MSN, RN NPI is 1780259515. 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:

1600 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640-932
Phone: (323) 887-1313

The enumeration date for this NPI number is 5/24/2021 and was last updated on 5/24/2021.

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
1	163WP0808X	Registered Nurse	Psychiatric/Mental Health	95051858	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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