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Organization

FONTANA PHYSICIANS ASSOCIATES A MEDICAL CORPORATION

Active
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Organization

FONTANA PHYSICIANS ASSOCIATES A MEDICAL CORPORATION

Active
Other names
Fontana Clinica Medica Familiar
Organization subpart
No

Provider details

NPI number
Authorized official
OCTAVIO RUIZ-VILLALPANDO M.D. (MEDICAL DIRECTOR/ OWNER)
(909) 854-3790
Entity
Organization

Contact information

Practice address
17695 ARROW BLVD, FONTANA, CA 92335-4041
(909) 854-3790
(909) 854-3792
Mailing address
17695 ARROW BLVD, FONTANA, CA 92335-4041
(909) 854-3790
(909) 854-3792

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Enumeration date
09/20/2006
Last updated
02/20/2012
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