SearchCalifornia172A00000X

Mark Ruiz

NPI 1396436267 · on the registry since 2023

Practice

Address
2689 Presidio Dr
Brentwood, CA 94513
Phone
(925) 698-1207
Fax
(925) 392-8589
Organisation at this address
Br Medivan Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-05-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California