Organization
AMANDA RUIZ, M.D., INC.
Active
Other names
Amanda Ruiz Graves, M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA RUIZ GRAVES M.D. (CEO)
(858) 344-8016
Entity
Organization
Contact information
Practice address
8700 BEVERLY BLVD, THALIANS, SUITE E123-D, WEST HOLLYWOOD, CA 90048-1804
(858) 344-8016
Mailing address
P.O. BOX 1309, STUDIO CITY, CA 92138-7972
(858) 344-8016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A67430
CA
2084P0800X
Psychiatry Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
A67430
CA
Other
Enumeration date
01/16/2007
Last updated
09/18/2012
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