# DR. GARY RUELAS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1154461549
- **Gender:** Man
- **Credential:** D.O., PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103G00000X | Clinical Neuropsychologist | PSY13999 | CA | — |
| 103TC0700X | Clinical Psychologist | PSY13999 | CA | — |
| 204D00000X | Neuromusculoskeletal Medicine & OMM Physician | 20A7737 | CA | Yes |
| 207Q00000X | Family Medicine Physician | 20A7737 | CA | — |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 09/11/2025
