| NPI | 1902192362 |
|---|---|
| Doing Business As | PHILLIP RUIZ |
| Entity Type | Organization |
| Authorized Contact | PHILLIP A RUIZ Director 323-584-8881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A44599) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A30390) |
| 208000000X Pediatrics (Licence: CA A41503) | |
| 363A00000X Physician Assistant (Licence: CA PA15560) | |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-08-11 |