| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 735 S D St, Perris, California |
| Authorized Official Name and Position | Octavio Ruiz-villalpando (PRESIDENT) |
| Authorized Official Contact | 9516573177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
735 S D St Perris CA 92570-2419 Ph: (951) 657-3177 | 735 S D St Perris CA 92570-2419 Ph: (951) 657-3177 |
| NPI Number | 1154420933 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 07/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154420933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (California) | Primary |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 N D St, Perris, CA 92570 Phone: 951-940-6700 Fax: 951-940-6726 | |
Perris Valley Medical Group, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 Avocado Ave, Suite 207, Perris, CA 92571 Phone: 951-657-0544 Fax: 951-657-9644 | |
Three Angels Medical Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 East 4th St, Suite B And C, Perris, CA 92570 Phone: 951-956-2131 Fax: 951-956-2150 | |