| Clinica Medica Familiar Y Dental | |
|
833 W Whittier Blvd Montebello CA 90640-4735 | |
| (213) 276-6776 | |
| Not Available |
| Full Name | Clinica Medica Familiar Y Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 833 W Whittier Blvd, Montebello, California |
| Authorized Official Name and Position | Ruben Ruiz (CEO/PRESIDENT) |
| Authorized Official Contact | 5622012508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Familiar Y Dental 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (323) 712-4811 | Clinica Medica Familiar Y Dental 833 W Whittier Blvd Montebello CA 90640-4735 Ph: (213) 276-6776 |
| NPI Number | 1245261023 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 05/25/2023 |
| Medicare PECOS PAC ID | 4688562432 |
|---|---|
| Medicare Enrollment ID | O20040304001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245261023 | NPI | - | NPPES |
| 1245261023 | Medicaid | CA |
| Provider Name | Ruben Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912901471 PECOS PAC ID: 3375431125 Enrollment ID: I20061208000384 |
| Provider Name | Julie Lam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144494659 PECOS PAC ID: 0446428825 Enrollment ID: I20110801000124 |
| Provider Name | Ferrin Katarina Ruiz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477998870 PECOS PAC ID: 5092086728 Enrollment ID: I20170729000039 |
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