R RUIZ M D A MEDICAL CORP NPI 1578599809

NPI Information

R RUIZ M D A MEDICAL CORP is a primary care clinic center in Rialto, CA. R RUIZ M D A MEDICAL CORP NPI is 1578599809. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Rialto Clinica Medica Familiar.

The provider's business location address is:

436 S RIVERSIDE AVE
RIALTO, CA
ZIP 92376-523
Phone: (909) 877-8868
Fax: (909) 877-0008

The provider's authorized official is Ruben Ruiz .
The authorized official title is Ceo/president and has the following contact phone number (562) 201-2508.

The CLIA number assigned to this NPI record is 05D0994683 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/26/2006 and was last updated on 5/25/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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