Provider Demographics
NPI:1891939203
Name:SAREEN, RUCHI (MD)
Entity Type:Individual
Prefix:DR
First Name:RUCHI
Middle Name:
Last Name:SAREEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RUCHI
Other - Middle Name:
Other - Last Name:KAPOOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1088
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90702-1088
Mailing Address - Country:US
Mailing Address - Phone:714-443-4512
Mailing Address - Fax:562-286-8777
Practice Address - Street 1:10441 LAKEWOOD BLVD STE AB
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2744
Practice Address - Country:US
Practice Address - Phone:562-869-1070
Practice Address - Fax:562-286-8777
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-29
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08137500207R00000X
CAA93912207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine