Organization
CLINICA DEL PUEBLO CARCAMO A MEDICAL CORPORATION
Active
Other names
Clinica del Pueblo Carcamo
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OCTAVIO RUIZ-VILLALPANDO MD (PRESIDENT/OWNER)
(909) 815-1991
Entity
Organization
Contact information
Practice address
14650 PACIFIC AVE, BALDWIN PARK, CA 91706-5333
(626) 337-1360
(626) 962-1375
Mailing address
14083 HASTINGS RANCH LN, RANCHO CUCAMONGA, CA 91739-2112
(951) 285-4393
(760) 948-6244
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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