# RUBEN M RUIZ III MD INC

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

## Provider details

- **NPI number:** 1942449442
- **Authorized official:** DR. RUBEN M RUIZ III MD (PRESIDENT)
- **Authorized official phone:** (310) 408-2999

## Contact information

- **Practice address:** 3012 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-2536
- **Practice address phone:** (626) 572-8692
- **Practice address fax:** (310) 414-3515
- **Mailing address:** 3012 SAN GABRIEL BLVD, ROSEMEAD, CA 91770-2536
- **Mailing address phone:** (626) 572-8692
- **Mailing address fax:** (310) 414-3515

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A78287 | CA | Yes |

## Other

- **Enumeration date:** 02/07/2009
- **Last updated:** 08/02/2010