Organization
AMERICAS HEALTH IPA CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO RUIZ-VILLALPANDO M.D. (MEDICAL DIRECTOR)
(909) 815-1991
Entity
Organization
Contact information
Practice address
217 E 3RD ST, CORONA, CA 92879-1438
(951) 204-0909
(951) 346-3107
Mailing address
217 E 3RD ST, CORONA, CA 92879-1438
(951) 204-0909
(951) 346-3107
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92039
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194832816
—
CA
Enumeration date
03/11/2016
Last updated
03/11/2016
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