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833 W Whittier Blvd Montebello CA 90640-4735 | |
(213) 276-6776 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 833 W Whittier Blvd, Montebello, California |
Authorized Official Name and Position | Ruben Ruiz (CEO/PRESIDENT) |
Authorized Official Contact | 5622012508 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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833 W Whittier Blvd Montebello CA 90640-4735 Ph: (323) 712-4811 | 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (213) 276-6776 |
NPI Number | 1245261023 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 05/25/2023 |
Medicare PECOS PAC ID | 4688562432 |
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Medicare Enrollment ID | O20040304001085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245261023 | NPI | - | NPPES |
1245261023 | Medicaid | CA |
Provider Name | Ruben Ruiz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1912901471 PECOS PAC ID: 3375431125 Enrollment ID: I20061208000384 |
Provider Name | Julie Lam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144494659 PECOS PAC ID: 0446428825 Enrollment ID: I20110801000124 |
Provider Name | Ferrin Katarina Ruiz |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1477998870 PECOS PAC ID: 5092086728 Enrollment ID: I20170729000039 |
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