Organization
EDWARD A. RUIZ MD, PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ANDREW RUIZ MD (OWNER)
(760) 564-9205
Entity
Organization
Contact information
Practice address
47110 WASHINGTON ST STE 203, LA QUINTA, CA 92253-2186
(760) 564-9205
(760) 771-6243
Mailing address
PO BOX 7278, LA QUINTA, CA 92248-7278
(760) 564-9205
(760) 771-6243
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
A104554
CA
Other
Enumeration date
08/03/2008
Last updated
05/23/2024
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