Organization
CLINICA MEDICA PACOIMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEFAN RUEHM MD (PRESIDENT)
(747) 777-6099
Entity
Organization
Contact information
Practice address
13630 VAN NUYS BLVD STE 107, PACOIMA, CA 91331-3668
(747) 777-6099
(747) 227-3076
Mailing address
13630 VAN NUYS BLVD STE 107, PACOIMA, CA 91331-3668
(747) 777-6099
(747) 227-3076
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
03/11/2024
Last updated
03/24/2025
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