Minosa, Maria Ruby R

Minosa, Maria Ruby R is an individual health care provider with primary practice located at 191 S Buena Vista St Suite 100, Burbank CA 91505-4554. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Minosa, Maria Ruby R can be contacted via phone (855) 723-3005.

Contact Information

Primary practice address
191 S Buena Vista St Suite 100 Burbank CA 91505-4554
Phone: (855) 723-3005
Fax: (855) 817-9681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A52727 California

Profile Details

NPI number 1912972985
LBN Legal business name Minosa, Maria Ruby R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 26th, 2014 - about 11 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1912972985 NPPES
California MEDICAID 00A527270

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