Organization
RANCHO FACULTY MEDICAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES STEWART M.D. (MEDICAL DIRECTOR)
(562) 401-7161
Entity
Organization
Contact information
Practice address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 803-0124
(562) 803-5569
Mailing address
7601 IMPERIAL HWY, DOWNEY, CA 90242-3456
(562) 803-0124
(562) 803-5569
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0057820
—
CA
01
—
ZZZ40700Z
BLUE SHIELD LEGACY
CA
Enumeration date
06/23/2006
Last updated
02/27/2008
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