Organization
R RUIZ M D A MEDICAL CORP
Active
Other names
Rialto Clinica Medica Familiar Medical Group, Inc., Rialto Clinica Medica Familiar
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN RUIZ MD (CEO/PRESIDENT)
(562) 201-2508
Entity
Organization
Contact information
Practice address
436 S RIVERSIDE AVE, RIALTO, CA 92376-6523
(909) 877-8868
(909) 877-0008
Mailing address
436 S RIVERSIDE AVE, RIALTO, CA 92376-6523
(909) 877-8868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G52245
CA
208000000X
Pediatrics Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0060100
—
CA
Enumeration date
06/26/2006
Last updated
05/25/2023
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