PHILLIP RUIZ, LATINA MEDICAL CLINIC, INC.
Ambulatory Health at Florence Ave, Los Angeles, CA

License number
California A44599
Category
Osteopathic Medicine
Type
Family Medicine
License number
California NP11421
Category
Ambulatory Health
Type
Clinic/Center
License number
California PA16956
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: DR. PHILLIP ADRIAN RUIZ M.D.
Title: PRESIDENT
Phone: (323) 359-9204
Address
Address
1234 E Florence Ave, Los Angeles, CA 90001
National Provider ID: 1912199233
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHILLIP RUIZ LATINA MEDICAL CLINIC, INC

Los Angeles, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Doing business as:
Clinica Medica Latina
Registration:
Jan 30, 2003
Phone:
(323) 583-9544 (Phone)
Addresses:
1234 Florence Blvd, Los Angeles, CA 90001 (Physical)
1234 E Florence Ave, Los Angeles, CA 90001
State ID:
C2457241
Business type:
Articles of Incorporation
President:
Phillip A. Ruiz President, inactive
Agent:
Phillip A Ruiz,Los Angeles, CA 90001 (Physical)

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