Rudenko, Ivan

Rudenko, Ivan is an individual health care provider with primary practice located at 17360 Brookhurst Street , Fountain Valley CA 92708. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Rudenko, Ivan can be contacted via phone (714) 665-1797.

Contact Information

Primary practice address
17360 Brookhurst Street Fountain Valley CA 92708
Phone: (714) 665-1797
Fax: (714) 665-4680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X A167288 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A167288 California

Profile Details

NPI number 1477040517
LBN Legal business name Rudenko, Ivan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2018
Last updated Dec 23rd, 2022 - about 4 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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