PHILLIP RUIZ - NPI 1902192362 - Family Medicine in Huntington Park, CA

Q: What is the provider's specialty?

The provider's specialty is Family Medicine with taxonomy code 207Q00000X.

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About Phillip Ruiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP RUIZ (NPI 1902192362) is a healthcare organization registered as a family medicine in Huntington Park, California and active in the NPI registry since June 2011. The organization lists Phillip A Ruiz, Director, as its authorized official.

NPPES Registry Identity

NPI1902192362

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSAN MANUEL MEDICAL CLINIC, INC

Location Address7400 PACIFIC BLVD, AHuntington Park, CA 90255-5739

Mailing Address7400 Pacific Blvd, Suite# A-bWalnut Park, CA 90255-5739 · (323) 584-8881 · Fax (323) 584-8882

Phone(323) 584-8881

Fax(323) 584-8882

Organization SubpartYesParent: Multi-cultural Medical Center, Inc

Authorized OfficialPhillip A RuizDirector · (323) 584-8881

Enumeration DateJune 23, 2011

Last NPPES UpdateAugust 11, 2011

✔ NPI 1902192362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in CA · A44599✔ Licensed in CA · A30390

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedPediatricsTaxonomy 208000000X · License A41503 (CA)

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA15560 (CA)

7400 PACIFIC BLVD, Huntington Park, CA 90255

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Other Names 1

Doing Business AsPhillip Ruiz

Other Identifiers 2

OtherPA15560CA · Multi-specialty Group-physician Assistant

OtherA44599CA · Multi-specialty Group- Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP