person
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. You can also correspond with Richard Rustanto through the mailing address at 2705 SUNRISE WAY, POMONA, CA - 91767-7014 (mailing address contact number: 818-585-3664).

Location: 1600 W Beverly Blvd, Montebello, CA, 91767-7014
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
State
Zip
90640-3932
Phone Number
323-887-1313
Fax Number
person
Provider Business Mailing Address Details
Address
1600 W Beverly Blvd
City
State
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
License No.
95051858 (California)
Definition
Definition to come...
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