| Luis E Ruiz-restrepo Md Inc | |
|
116 West E. Street Tehachapi CA 93561 | |
| (661) 822-1004 | |
| (661) 822-3603 |
| Full Name | Luis E Ruiz-restrepo Md Inc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 116 West E. Street, Tehachapi, California |
| Authorized Official Name and Position | Luis E. Ruiz-restrepo (CEO) |
| Authorized Official Contact | 6618221004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Ruiz-restrepo Md Inc Po Box 663 Tehachapi CA 93581-0663 Ph: (661) 822-1004 | Luis E Ruiz-restrepo Md Inc 116 West E. Street Tehachapi CA 93561 Ph: (661) 822-1004 |
| NPI Number | 1134294788 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 03/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134294788 | NPI | - | NPPES |
| 00C413820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | C41382 (California) | Primary |
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