Organization
CHERRY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALBERTO RUVALCABA MD (CEO/PRESIDENT)
(559) 390-0023
Entity
Organization
Contact information
Practice address
40657 ROAD 128, CUTLER, CA 93615-2003
(559) 234-2112
Mailing address
40657 ROAD 128, CUTLER, CA 93615-2003
(559) 390-0023
(559) 426-6069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
08/31/2020
Last updated
09/25/2020
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