Individual
CARMEN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 W EULALIA ST STE 100A, GLENDALE, CA 91204-2850
(818) 244-8161
Mailing address
222 W EULALIA ST STE 100A, GLENDALE, CA 91204-2850
(818) 244-8161
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
C146537
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200019610B
—
OK
Enumeration date
01/26/2006
Last updated
02/23/2024
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