Organization
CLINICA DE LATINOS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP ADRIAN RUIZ M. D. (CEO, CFO, MEDICAL DIRECTOR)
(323) 359-9204
Entity
Organization
Contact information
Practice address
2362 N OXNARD BLVD, SUITE 104, OXNARD, CA 93036-2047
(805) 604-7500
(805) 604-7400
Mailing address
2362 N OXNARD BLVD, SUITE 104, OXNARD, CA 93036-2047
(805) 604-7500
(805) 604-7400
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A44599
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A445992
—
CA
Enumeration date
03/07/2008
Last updated
03/27/2008
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