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NPI Code Detail

MEDICARE: RUTH ISIP HILARIO NP-C

MEDICARE:   RUTH ISIP HILARIO  NP-C
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
1363LF0000XFamily Nurse Practitioner95005740CA

General Provider Information

NPI Number : 1841738556
Entity Type Code : Individual
Provider Name (Legal Business Name) : RUTH ISIP HILARIO NP-C
Provider Business Mailing Address
First Line : 1350 CHESTNUT AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2945
Country : US
Telephone Number : 562-599-1565
Fax Number :
Provider Business Practice Location Address
First Line : 1350 CHESTNUT AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-2945
Country : US
Telephone Number : 562-599-1565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2017
Last Update Date : 05/19/2021

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Directions to “ RUTH ISIP HILARIO NP-C” Practice Location

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