Montebello Clinica Medica Familiar
LBN: R Ruiz M D A Professional Corporation
Montebello Clinica Medica Familiar is an health care organization with primary practice located at 833 W Whittier Blvd , Montebello CA 90640-4735. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
R Ruiz M D A Professional Corporation can be contacted via phone (323) 712-4811, or through Ruiz, Ruben via phone (562) 201-2508.
Contact Information
Primary practice address
833 W Whittier Blvd
Montebello CA 90640-4735
Phone: (323) 712-4811
Fax: (844) 302-8678
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | LAB79356F | California |
Profile Details
| NPI number | 1740466325 |
|---|---|
| LBN Legal business name | R Ruiz M D A Professional Corporation |
| DBA Doing business as | Montebello Clinica Medica Familiar |
| Authorized official | Ruiz, Ruben Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | May 25th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740466325 | NPPES |
| California | Other | 05D2160409 | CLIA CERTIFICATE OF WAIVER |
| California | MEDICAID | LAB79356F | CLIA CERTIFICATE OF WAIVER |
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