Individual
MS. ANGELA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5849 CROCKER ST, LOS ANGELES, CA 90003-1311
(323) 234-4445
Mailing address
3231 1/2 DREW ST, LOS ANGELES, CA 90065-2306
(323) 972-7902
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02768010
DRUG MEDI-CAL
CA
Enumeration date
04/12/2013
Last updated
03/17/2018
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