Individual
CECILIA GONZALEZ RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10158 BUENA VISTA AVE, SANTEE, CA 92071
(619) 562-1140
(619) 562-5362
Mailing address
10158 BUENA VISTA AVE, SANTEE, CA 92071-4435
(619) 562-1140
(619) 562-5362
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
56847
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
393450
—
AZ
01
—
Z126702
MEDICARE PTAN
AZ
Enumeration date
02/15/2006
Last updated
08/23/2019
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