Declet-Bauzo, Ricardo Andre
Declet-Bauzo, Ricardo Andre is an individual health care provider with primary practice located at 2330 Utah Ave Ste 200 , El Segundo CA 90245-4817. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Declet-Bauzo, Ricardo Andre can be contacted via phone (281) 766-0959.Contact Information
Primary practice address
2330 Utah Ave Ste 200
El Segundo CA 90245-4817
Phone: (281) 766-0959
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01097300A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 166292 | Florida |
Profile Details
| NPI number | 1588153647 |
|---|---|
| LBN Legal business name | Declet-Bauzo, Ricardo Andre |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2018 |
| Last updated | Apr 10th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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