Stacy Rustico is a Pediatrics in San Diego, California. Stacy Rustico practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Stacy Rustico is 1942461512. The last update date is 2021-03-18.
Stacy Rustico's current location address is 34520 Bob Wilson Dr Fl 1, San Diego, California. You can contact this provider via phone number 6198819165 and fax number 6195329184. The mailing address for Stacy Rustico is 34520 Bob Wilson Dr Fl 1, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stacy Rustico |
|---|---|
| Address | 34520 Bob Wilson Dr Fl 1, San Diego, California |
| Phone Number | 6198819165 |
| Fax Number | 6195329184 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1942461512 |
|---|---|
| Provider Enumeration Date | 2008-06-17 |
| Last Updated Date | 2021-03-18 |
Provider Mailing Address Detail
| Address | 34520 Bob Wilson Dr Fl 1 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921342098 |
| Phone Number | 6198819165 |
| Fax Number | 6195329184 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | A111715 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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What is the unique 10-digit identifier code assigned to Stacy Rustico by the Centers for Medicare & Medicaid Services?
The Stacy Rustico has been issued the NPI (National Provider Identifier) 1942461512 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Stacy Rustico's physical address?
The Stacy Rustico is physically located at 34520 Bob Wilson Dr Fl 1, in the city of San Diego, CA, with the postal code 921342098.
What is the area of specialization for Stacy Rustico, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Stacy Rustico is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date was the 1942461512 assigned to Stacy Rustico?
The Stacy Rustico was issued its 1942461512 on 2008-06-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Stacy Rustico, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stacy Rustico, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-03-18.
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