Individual
AMANDA RUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST STE 1652, LOS ANGELES, CA 90033-5321
(323) 442-6000
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A67430
CA
Other
Enumeration date
12/12/2012
Last updated
07/12/2019
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