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NPI Code Detail

MEDICARE: RUBEN M RUIZ III MEDICAL CENTER

MEDICARE: RUBEN M RUIZ III MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13336C0002XClinic Pharmacy

General Provider Information

NPI Number : 1639525462
Entity Type Code : Organization
Provider Name (Legal Business Name) : RUBEN M RUIZ III MEDICAL CENTER
Provider Business Mailing Address
First Line : 3012 SAN GABRIEL BLVD
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2536
Country : US
Telephone Number : 626-572-8692
Fax Number : 626-572-9736
Provider Business Practice Location Address
First Line : 3012 SAN GABRIEL BLVD
Second Line :
City : ROSEMEAD
State : CA
Zip : 91770-2536
Country : US
Telephone Number : 626-572-8692
Fax Number : 626-572-9736
Authorized Official
Title or Position : PRESIDENT
Name : RUBEN M RUIZ III
Credential : M. D.
Telephone Number : 626-572-8692
Provider Enumeration Date : 05/11/2016
Last Update Date : 05/11/2016

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Directions to “RUBEN M RUIZ III MEDICAL CENTER ” Practice Location

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