Organization
ALL UNITED MEDICAL GROUP IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCTAVIO RUIZ-VILLALPANDO MD (MEDICAL DIRECTOR)
(909) 219-5260
Entity
Organization
Contact information
Practice address
301 S LA CADENA DR, COLTON, CA 92324-3419
(909) 219-5260
Mailing address
301 S LA CADENA DR, COLTON, CA 92324-3419
(909) 219-5260
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A92039
CA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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