R RUIZ M D A PROFESSIONAL CORPORATION NPI 1245261023

NPI Information

NPI: 1245261023
Provider Name: R RUIZ M D A PROFESSIONAL CORPORATION

Doing Business As: CLINICA MEDICA FAMILIAR Y DENTAL

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
833 W WHITTIER BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (213) 276-6776
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R RUIZ M D A PROFESSIONAL CORPORATION is a primary care clinic center in Montebello, CA. R RUIZ M D A PROFESSIONAL CORPORATION NPI is 1245261023. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Clinica Medica Familiar Y Dental.

The provider's business location address is:

833 W WHITTIER BLVD
MONTEBELLO, CA
ZIP 90640-735
Phone: (213) 276-6776

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 enumeration date for this NPI number is 7/6/2006 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		G52245	CALIFORNIA	No
2	207Q00000X	Family Medicine				No
3	208000000X	Pediatrics				No
4	1223G0001X	Dentist	General Practice			No
5	261QP2300X	Clinic/Center	Primary Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1245261023	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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