Individual
MARIO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
675 W FOOTHILL BLVD STE 200, CLAREMONT, CA 91711-3475
(925) 282-1778
Mailing address
1004 W WEST COVINA PKWY # 477, WEST COVINA, CA 91790-2810
(323) 947-1167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95214650
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95030403
CA
Other
Enumeration date
11/21/2024
Last updated
01/05/2026
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