Individual
MRS. DALILA ELVIRA RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN.CM
Contact information
Practice address
1701 CESAR CHAVEZ AVENUE, LOS ANGELES, CA 90033
(323) 725-8751
Mailing address
922 N ORCHARD DR, BURBANK, CA 91506-1541
(818) 272-6051
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
531470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
450719563
US PASSPORT
CA
01
—
N9470078
DRIVER LICENSE
CA
Enumeration date
08/17/2017
Last updated
06/20/2018
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