Colton Clinica Medica Familiar | |
301 S La Cadena Dr Colton CA 92324-3419 | |
(909) 219-5093 | |
(909) 219-5260 |
Full Name | Colton Clinica Medica Familiar |
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Speciality | Family Medicine |
Location | 301 S La Cadena Dr, Colton, California |
Authorized Official Name and Position | Octavio Ruiz-villalpando (OWNER/PRESIDENT) |
Authorized Official Contact | 9512854393 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Colton Clinica Medica Familiar 301 S La Cadena Dr Colton CA 92324-3419 Ph: (909) 219-5093 | Colton Clinica Medica Familiar 301 S La Cadena Dr Colton CA 92324-3419 Ph: (909) 219-5093 |
NPI Number | 1114374071 |
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Provider Enumeration Date | 05/20/2016 |
Last Update Date | 05/20/2016 |
Medicare PECOS PAC ID | 9032542667 |
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Medicare Enrollment ID | O20191211003320 |
Identifier | Type | State | Issuer |
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1114374071 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A92039 (California) | Primary |
Provider Name | Octavio Ruiz Villalpando |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194832816 PECOS PAC ID: 3870691926 Enrollment ID: I20070613000358 |
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Mt. Vernon Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1023 S Mount Vernon Ave, Colton, CA 92324 Phone: 909-422-8015 Fax: 909-422-0625 | |
Inland Empire Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1550 E Washington St # 101, Colton, CA 92324 Phone: 800-418-0850 | |
Arrowhead Family Medical Group Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 N Pepper Ave, Colton, CA 92324 Phone: 909-580-6230 Fax: 909-580-6308 |