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 2 days ago.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