Individual
JASSON EMMANUEL RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2055 N PERRIS BLVD STE C, PERRIS, CA 92571-2509
(519) 715-5050
(951) 715-5050
Mailing address
28806 MALTBY AVE, MORENO VALLEY, CA 92555-6919
(213) 374-4996
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-DLJIEZ
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
04/02/2025
Last updated
03/09/2026
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