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Organization
SAN MANUEL MEDICAL CLINIC, INC
Active
Organization
SAN MANUEL MEDICAL CLINIC, INC
Active
Parent organization
MULTI-CULTURAL MEDICAL CENTER, INC
Other names
PHILLIP RUIZ
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULTI-CULTURAL MEDICAL CENTER, INC
Authorized official
PHILLIP A RUIZ M,D (DIRECTOR)
(323) 584-8881
Entity
Organization
Contact information
Practice address
7400 PACIFIC BLVD, A, HUNTINGTON PARK, CA 90255-5739
(323) 584-8881
(323) 584-8882
Mailing address
7400 PACIFIC BLVD, SUITE# A-B, WALNUT PARK, CA 90255-5739
(323) 584-8881
(323) 584-8882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A30390
CA
207Q00000X
Family Medicine Physician
Primary
A44599
CA
208000000X
Pediatrics Physician
A41503
CA
363A00000X
Physician Assistant
PA15560
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A44599
MULTI-SPECIALTY GROUP- FAMILY MEDICINE
CA
01
—
PA15560
MULTI-SPECIALTY GROUP-PHYSICIAN ASSISTANT
CA
Enumeration date
06/23/2011
Last updated
08/11/2011
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