Provider Demographics
NPI:1740372762
Name:UYTINGCO, RUFINO M (MD)
Entity type:Individual
Prefix:DR
First Name:RUFINO
Middle Name:M
Last Name:UYTINGCO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1145 GEER RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95380-3381
Mailing Address - Country:US
Mailing Address - Phone:209-668-4031
Mailing Address - Fax:209-668-4832
Practice Address - Street 1:1145 GEER RD
Practice Address - Street 2:SUITE A
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95380-3381
Practice Address - Country:US
Practice Address - Phone:209-668-4031
Practice Address - Fax:209-668-4832
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-02-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA73254207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A732540Medicaid
CA00A732540Medicaid
CA00A732540Medicare ID - Type Unspecified