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NPI Code Detail

MEDICARE: US MEDICAL CENTER

MEDICARE: US 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
1207Q00000XFamily Medicine PhysicianW17922CA

General Provider Information

NPI Number : 1295766947
Entity Type Code : Organization
Provider Name (Legal Business Name) : US MEDICAL CENTER
Provider Business Mailing Address
First Line : 12679 BEACH BLVD
Second Line :
City : STANTON
State : CA
Zip : 90680-4007
Country : US
Telephone Number : 714-379-8400
Fax Number :
Provider Business Practice Location Address
First Line : 12679 BEACH BLVD
Second Line :
City : STANTON
State : CA
Zip : 90680-4007
Country : US
Telephone Number : 714-379-8400
Fax Number :
Authorized Official
Title or Position : CEO
Name : DR. RICHARD DIETER RUTH
Credential : M.D.
Telephone Number : 714-379-8400
Provider Enumeration Date : 07/05/2006
Last Update Date : 08/22/2020

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Directions to “US MEDICAL CENTER ” Practice Location

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