OrganizationRichard L Buccigross Md A Medical CorporationPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansPractice Address4550 Kearny Villa Rd, Suite 214, San Diego, CA 92123-1578(858) 565-0900PECOS EnrollmentBased on the most recent information from CMS, provider Richard L Buccigross Md A Medical Corporation does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 11:34 AM.Profile DetailsProvider ID1841438413Provider TypeOrganizationFull NameRichard L Buccigross Md A Medical CorporationSubpartNoEnumeration Date2/4/2009Last Updated2/4/2009Contact InformationPractice LocationPractice Address4550 Kearny Villa Rd, Suite 214, San Diego, CA 92123-1578Phone(858) 565-0900FaxUnlisted FaxMailing LocationMailing Address4550 Kearny Villa Rd, Suite 214, San Diego, CA 92123-1578Phone(858) 565-0900FaxUnlisted FaxAuthorized OfficialNameBuccigross, Richard Leslie (President)Phone(858) 565-0900Provider TaxonomiesCodeDescriptionLicenseCode2084P0804XPrimaryDescriptionPsychiatry & NeurologyAllopathic & Osteopathic PhysiciansLicenseG31185CaliforniaProvider IdentifiersIDDescriptionIssuerID00G311850DescriptionMedicaidIssuerUnlistedCalifornia