MEDICARE: JULIA RUIZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174H00000X	Health Educator		CA

General Provider Information

NPI Number	:	1083188494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA RUIZ

Provider Business Mailing Address
First Line	:	1680 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	559-244-4512
Fax Number	:	888-284-9463

Provider Business Practice Location Address
First Line	:	1680 W SHAW AVE
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93711-3504
Country	:	US
Telephone Number	:	559-244-4554
Fax Number	:	888-284-9463

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2019
Last Update Date	:	01/18/2019

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Directions to “ JULIA RUIZ ” Practice Location

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