Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

San Manuel Medical Clinic, Inc

Organization Family Medicine Physician · NPI 1902192362

San Manuel Medical Clinic, Inc provides Family Medicine Physician services 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 Not confirmed with CMS for 15 years — call before visiting
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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