Organization
R RUIZ M D A PROFESSIONAL CORPORATION
Active
Other names
Montebello Clinica Medica Familiar, Clinica Medica Familiar y Dental
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN RUIZ MD (CEO/PRESIDENT)
(562) 201-2508
Entity
Organization
Contact information
Practice address
833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
(213) 276-6776
Mailing address
833 W WHITTIER BLVD, MONTEBELLO, CA 90640-4735
(323) 712-4811
(844) 302-8678
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
174400000X
Specialist
G52245
CA
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1245261023
—
CA
Enumeration date
07/06/2006
Last updated
05/25/2023
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