Organization
COLTON CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Active
Other names
Colton Clinica Medica Familiar
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OCTAVIO RUIZ-VILLALPANDO M.D. (OWNER/PRESIDENT)
(951) 285-4393
Entity
Organization
Contact information
Practice address
301 S LA CADENA DR, COLTON, CA 92324-3419
(909) 219-5093
(909) 219-5260
Mailing address
301 S LA CADENA DR, COLTON, CA 92324-3419
(909) 219-5093
(909) 219-5260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92039
CA
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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