Provider Demographics
NPI:1043498876
Name:RUAN, JOSEPH H (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:H
Last Name:RUAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:9961 SIERRA AVE
Mailing Address - Street 2:DEPT GENERAL AND PLASTIC SURGERY
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92335-6720
Mailing Address - Country:US
Mailing Address - Phone:909-427-5000
Mailing Address - Fax:909-427-7060
Practice Address - Street 1:9961 SIERRA AVE
Practice Address - Street 2:DEPT OF GENERAL AND PLASTIC SURGERY
Practice Address - City:FONTANA
Practice Address - State:CA
Practice Address - Zip Code:92335-6720
Practice Address - Country:US
Practice Address - Phone:909-427-5000
Practice Address - Fax:909-427-7060
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2021-11-30
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Provider Licenses
StateLicense IDTaxonomies
CAA93995208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93995OtherCA MEDICAL LICENSE