Healthcare Provider Details

I. General information

NPI: 1700780590
Provider Name (Legal Business Name): NOEMI RUELAS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 W YALE LOOP
IRVINE CA
92614-7939
US

IV. Provider business mailing address

1630 HIGHLAND ST
SANTA ANA CA
92703-4611
US

V. Phone/Fax

Practice location:
  • Phone: 949-936-6740
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: