Healthcare Provider Details

I. General information

NPI: 1588503650
Provider Name (Legal Business Name): ELYZA ZELYA ARANIVA-RUIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30075 AVENIDA LOS NINOS
CATHEDRAL CITY CA
92234-2810
US

IV. Provider business mailing address

30075 AVENIDA LOS NINOS
CATHEDRAL CITY CA
92234-2810
US

V. Phone/Fax

Practice location:
  • Phone: 760-550-1658
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number3902
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: