Organization
RUBEN RUIZ MD A MEDICAL CORPORATION
Active
Organization
RUBEN RUIZ MD A MEDICAL CORPORATION
Active
Other names
Ontario Clinica Medica Familiar
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN RUIZ MD (LABORATORY DIRECTOR)
(562) 201-2508
Entity
Organization
Contact information
Practice address
403 W F ST, ONTARIO, CA 91762-3207
(909) 988-3288
(909) 988-6767
Mailing address
403 W F ST, ONTARIO, CA 91762-3207
(909) 988-3288
(909) 988-6767
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLA314870
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0879364
CLIA CERTIFICATE OF WAIVER
—
01
—
LAB79364F
CLINICAL LABORATORY LICENSE
CA
Enumeration date
09/23/2008
Last updated
05/25/2023
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