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Richard Rustanto, MSN,RN
Psychiatric/Mental Health Registered Nurse in Montebello, California
NPI 1780259515

Richard Rustanto is a Psychiatric/Mental Health Registered Nurse based in Pomona, CA and is specialized in Psychiatric/Mental Health. Richard Rustanto practices in Montebello, CA and has the professional credentials of MSN,RN. The NPI Number for Richard Rustanto is 1780259515 and holds a License No. 95051858 (California).

The current practice location address for Richard Rustanto is 1600 W Beverly Blvd, Montebello, CA and can be reached out via phone at 323-887-1313.

Location: 1600 W Beverly Blvd, Montebello, CA, 91767-7014
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780259515
Provider Name
Richard Rustanto
Credential
MSN,RN
Provider Entity Type
Individual
Gender
Male
Address
1600 W Beverly Blvd, Montebello, CA, 91767-7014
Phone Number
323-887-1313
Fax Number
Provider Enumeration Date
05/24/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1600 W Beverly Blvd
City
Montebello
State
California
Zip
90640-3932
Phone Number
323-887-1313
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Beverly Blvd
City
Montebello
State
California
Zip
90640-3932
Phone Number
323-887-1313
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
95051858 (California)
Definition
Definition to come...
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