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Organization

RANCHO PHYSICIANS CHOICE A MEDICAL CORPORATION

Active
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Organization

RANCHO PHYSICIANS CHOICE A MEDICAL CORPORATION

Active
Other names
Rancho Clinica Medica Familiar
Organization subpart
No

Provider details

NPI number
Authorized official
LETICIA RUIZ DECRUZ (AUTHORIZED OFFICIAL)
(951) 204-0909
Entity
Organization

Contact information

Practice address
1871 E 4TH ST, ONTARIO, CA 91764-2601
(909) 391-0022
(909) 391-0026
Mailing address
1871 E 4TH ST, ONTARIO, CA 91764-2601
(909) 391-0022
(909) 391-0026

Taxonomy

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

Other

Enumeration date
03/21/2017
Last updated
10/27/2023
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