Organization
RAMPART MULTI-SPECIALTY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL CHUA AGUILERA M.D. (CEO PRESIDENT)
(310) 834-4233
Entity
Organization
Contact information
Practice address
235 W CARSON ST, CARSON, CA 90745-2604
(310) 834-4233
(310) 834-3356
Mailing address
235 W CARSON ST, CARSON, CA 90745-2604
(310) 834-4233
(310) 834-3356
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38823
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A38823
STATE LICENSE
CA
05
—
GR0025530
—
CA
Enumeration date
05/09/2007
Last updated
03/07/2023
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