| NPI | 1558854976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUBEN M RUIZ President 626-321-5755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 208D00000X General Practice |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2018-06-14 |