| Organization Name: | LUIS E RUIZ-RESTREPO MD INC |
| NPI Number: | 1134294788 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUIS E. RUIZ-RESTREPO (CEO) |
| Mailing Address: | 116 West E. Street Tehachapi |
| State: | CA US |
| Postal Code: | 93561 |
| Phone Number: | 6618221004 |
| Fax Number: | 6618223603 |
| NPI Enumeration Date: | 11/21/2006 |
| NPI Last Update Date: | 03/23/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | C41382 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |