Organization
RUIZ ANESTHESIA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RUIZ CRNA (PRESIDENT)
(760) 218-8303
Entity
Organization
Contact information
Practice address
29300 PORTOLA PKWY STE A, LAKE FOREST, CA 92630-8741
(949) 305-6336
Mailing address
5 HOLLAND STE 101, IRVINE, CA 92618-2568
(949) 588-2190
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
05/14/2020
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