Fontana Clinica Medica Familiar | |
17695 Arrow Blvd Fontana CA 92335-4041 | |
(909) 854-3790 | |
(909) 854-3792 |
Full Name | Fontana Clinica Medica Familiar |
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Speciality | Family Medicine |
Location | 17695 Arrow Blvd, Fontana, California |
Authorized Official Name and Position | Octavio Ruiz-villalpando (MEDICAL DIRECTOR/ OWNER) |
Authorized Official Contact | 9098543790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Fontana Clinica Medica Familiar 17695 Arrow Blvd Fontana CA 92335-4041 Ph: (909) 854-3790 | Fontana Clinica Medica Familiar 17695 Arrow Blvd Fontana CA 92335-4041 Ph: (909) 854-3790 |
NPI Number | 1174621585 |
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Provider Enumeration Date | 09/20/2006 |
Last Update Date | 02/20/2012 |
Medicare PECOS PAC ID | 0547421752 |
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Medicare Enrollment ID | O20120416000585 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174621585 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | 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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Alav Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy, Ste 220, Fontana, CA 92336 Phone: 909-434-1123 Fax: 909-261-8082 | |
Vituity Physician Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16888 Baseline Ave, Fontana, CA 92336 Phone: 855-422-8029 | |
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