Rullan, Peter P

Rullan, Peter P is an individual health care provider with primary practice located at 256 Landis Ave 3Rd Floor, Chula Vista CA 91910-2650. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Rullan, Peter P can be contacted via phone (619) 426-9600.

Contact Information

Primary practice address
256 Landis Ave 3Rd Floor Chula Vista CA 91910-2650
Phone: (619) 426-9600
Fax: (619) 426-4112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X G42243 California
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X G42243 California
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X G42243 California

Profile Details

NPI number 1114963170
LBN Legal business name Rullan, Peter P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Mar 7th, 2013 - about 13 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 1114963170 NPPES
California MEDICAID ZZZ73699Z

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