Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

San Manuel Medical Clinic, Inc

Organization Family Medicine Physician · NPI 1902192362

San Manuel Medical Clinic, Inc is a Family Medicine Physician in Huntington Park, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7400 Pacific Blvd A
Huntington Park, CA 90255-5739
Phone: (323) 584-8881
Fax: (323) 584-8882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A44599 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence A30390 (CA)
Pediatrics Physician Taxonomy 208000000X · Licence A41503 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA15560 (CA)

Record details

NPI number1902192362
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMulti-Cultural Medical Center, Inc
Authorized official Phillip Ruiz — Director · (323) 584-8881
Other names Phillip Ruiz
NPI enumeratedJune 23, 2011
Last updated in NPPESAugust 11, 2011
Mailing address7400 Pacific Blvd, Suite# A-B, Walnut Park, CA 90255-5739

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