Individual
ESTEBAN RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1359 N GRAND AVE, COVINA, CA 91724-1016
(626) 430-2900
Mailing address
1359 N GRAND AVE, COVINA, CA 91724-1016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
06/15/2023
Last updated
05/09/2025
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