# CHERRY CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275146037
- **Authorized official:** DR. ALBERTO RUVALCABA MD (CEO/PRESIDENT)
- **Authorized official phone:** (559) 390-0023

## Contact information

- **Practice address:** 40657 ROAD 128, CUTLER, CA 93615-2003
- **Practice address phone:** (559) 234-2112
- **Mailing address:** 40657 ROAD 128, CUTLER, CA 93615-2003
- **Mailing address phone:** (559) 390-0023
- **Mailing address fax:** (559) 426-6069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 208D00000X | General Practice Physician | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/31/2020
- **Last updated:** 09/25/2020