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Organization
HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Active
Organization
HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Active
Other names
Hesperia Clinica Medica Familiar A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO RUIZ-VILLALPANDO M.D. (OWNER/PRESIDENT)
(760) 948-2242
Entity
Organization
Contact information
Practice address
15888 MAIN ST, SUITE 112B, HESPERIA, CA 92345-3467
(760) 948-2242
(760) 948-6244
Mailing address
15888 MAIN ST, SUITE 112B, HESPERIA, CA 92345-3467
(760) 948-2242
(760) 948-6244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92039
CA
Other
Enumeration date
01/28/2011
Last updated
07/13/2012
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