Organization
A TU SALUD A MEDICAL CORPORATION
Active
Other names
Clinica Medica Familiar de Montclair
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO RUIZ-VILLALPANDO M.D. (PRESIDENT)
(909) 626-4020
Entity
Organization
Contact information
Practice address
10563 MILLS AVE, MONTCLAIR, CA 91763-4610
(909) 626-4020
Mailing address
10563 MILLS AVE, MONTCLAIR, CA 91763-4610
(909) 262-4020
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92039
CA
Other
Enumeration date
09/13/2006
Last updated
12/01/2008
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