Clinica de Latinos, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A44599 Issued in CA

Legal business name

CLINICA DE LATINOS, INC.

Practice address

2362 N Oxnard Blvd
Suite 104
Oxnard, CA 93036-2047

Phone

(805) 604-7500

Fax

(805) 604-7400

NPI assigned

Mar 7, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Phillip Adrian Ruiz, M. D.

Title

Ceo, Cfo, Medical Director

Phone

(323) 359-9204

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1144490996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2362 N OXNARD BLVD",
            "address_2": "SUITE 104",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362047",
            "telephone_number": "805-604-7500",
            "fax_number": "805-604-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2362 N OXNARD BLVD",
            "address_2": "SUITE 104",
            "city": "OXNARD",
            "state": "CA",
            "postal_code": "930362047",
            "telephone_number": "805-604-7500",
            "fax_number": "805-604-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA DE LATINOS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-07",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "CEO, CFO, MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-359-9204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A44599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A445992",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Oxnard, CA
• Providers in Oxnard, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.