Albert Ridlovsky MD, Inc

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

A88847 Issued in CA

Legal business name

ALBERT RIDLOVSKY MD, INC

Practice address

8112 Milliken Ave
Suite 103-2
Rancho Cucamonga, CA 91730-7471

Phone

(909) 481-0752

Fax

(909) 481-0804

NPI assigned

Sep 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Albert Ridlovski, M.D.

Title

Internal Medicine

Phone

(909) 481-0752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267142400000",
    "number": "1487758132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "SUITE 103-2",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-481-0752",
            "fax_number": "909-481-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 MILLIKEN AVE",
            "address_2": "SUITE 103-2",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307471",
            "telephone_number": "909-481-0752",
            "fax_number": "909-481-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBERT RIDLOVSKY MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2010-02-26",
        "status": "A",
        "authorized_official_last_name": "RIDLOVSKI",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_title_or_position": "INTERNAL MEDICINE",
        "authorized_official_telephone_number": "909-481-0752",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "A88847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A88847",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.