Individual
JOSHUA AARON RUELAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4771 CAMPUS DR, IRVINE, CA 92612-3298
(949) 936-7791
Mailing address
201 E CHAPMAN AVE APT 32G, PLACENTIA, CA 92870-4614
(559) 799-7187
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000042353
BOARD OF CERTIFICATION
—
Enumeration date
06/08/2019
Last updated
02/20/2023
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