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PHILLIP RUIZ LATINA MEDICAL CLINIC INC. NPI 1912199233


NPI Information

NPI: 1912199233
Provider Name: PHILLIP RUIZ, LATINA MEDICAL CLINIC, INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1234 E FLORENCE AVE
LOS ANGELES, CA
ZIP 90001
Phone: (323) 583-9544
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PHILLIP RUIZ, LATINA MEDICAL CLINIC, INC. is a family medicine in Los Angeles, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PHILLIP RUIZ, LATINA MEDICAL CLINIC, INC. NPI is 1912199233. The provider is registered as an organization entity type.

The provider's business location address is:

1234 E FLORENCE AVE
LOS ANGELES, CA
ZIP 90001-433
Phone: (323) 583-9544
Fax: (323) 583-9546

The provider's authorized official is Phillip Adrian Ruiz .
The authorized official title is President and has the following contact phone number (323) 359-9204.

The enumeration date for this NPI number is 8/10/2007 and was last updated on 2/1/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterPA16956CALIFORNIANo
2261Q00000XClinic/CenterNP11421CALIFORNIANo
3207Q00000XFamily MedicineA44599CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100A445990MEDICAIDCALIFORNIA
200A445992MEDICAIDCALIFORNIA
300A445991MEDICAIDCALIFORNIA
4A44599AMEDICARE PINCALIFORNIA
5E08456MEDICARE UPINCALIFORNIA

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: 11/14/2023

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