Healthcare Provider Details

I. General information

NPI: 1265771356
Provider Name (Legal Business Name): RUBEN ALEJANDRO MUNOZ M.D., M.P.H
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2013
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4129 GAGE AVE
BELL CA
90201-1128
US

IV. Provider business mailing address

2550 W MAIN ST STE 301
ALHAMBRA CA
91801-7003
US

V. Phone/Fax

Practice location:
  • Phone: 323-771-8400
  • Fax: 323-771-8750
Mailing address:
  • Phone: 626-457-6900
  • Fax: 626-457-5022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA119231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: