Organization
GENESIS FAMILY CARE MEDICAL GROUP, INC.
Active
Other names
Pacific Coast Family Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD RUBY J. (PRESIDENT)
(310) 545-6627
Entity
Organization
Contact information
Practice address
1101 N SEPULVEDA BLVD STE 102, MANHATTAN BEACH, CA 90266-5962
(310) 545-6627
(310) 545-0352
Mailing address
1101 N SEPULVEDA BLVD STE 102, MANHATTAN BEACH, CA 90266-5962
(310) 545-6627
(310) 545-0352
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
G34101
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0064100
—
CA
Enumeration date
10/03/2007
Last updated
05/29/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us