Provider Demographics
NPI:1467544452
Name:RYPINS MD FACS APC, ERIC (MD FACS APC)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:
Last Name:RYPINS MD FACS APC
Suffix:
Gender:M
Credentials:MD FACS APC
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2424 VISTA WAY
Mailing Address - Street 2:STE 106
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-6178
Mailing Address - Country:US
Mailing Address - Phone:760-732-1166
Mailing Address - Fax:760-732-1130
Practice Address - Street 1:2424 VISTA WAY
Practice Address - Street 2:STE 106
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6178
Practice Address - Country:US
Practice Address - Phone:760-732-1166
Practice Address - Fax:760-732-1130
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG47250208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G472500Medicaid
CA00G472500Medicaid