John G Prucha
Medical Specialty
Professional ID
- NPI: 1700204567
- PECOS ID: 6709179989
- Enrollment ID: I20161228001914
- Credential(MD, DO, DPM):
- Medical School: University Of Colorado School Of Medicine
- Medical School Graduation Year: 2014
Hospital Service
- Hospital CCN1: 050159
- Business Name (LBN)1: Ventura County Medical Center
Medical Practices
- Organization Name: Centro De Salud De La Comunidad De San Ysidro, Inc.
- Group Practice ID assigned by PECOS: 6901709435
- Number of Group Practice member: 84
Location
- Address1: 4004 Beyer Blvd
- Address2:
- City: San Ysidro
- State: California
- Zip Code: 92173
- Phone Number: (619)428-4463
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):