Healthcare Provider Details

I. General information

NPI: 1659229201
Provider Name (Legal Business Name): DEANNA RUANO-MEAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 03/19/2026
Certification Date: 03/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 LINDEN AVE
LONG BEACH CA
90807-5029
US

IV. Provider business mailing address

3070 LINDEN AVE
LONG BEACH CA
90807-5029
US

V. Phone/Fax

Practice location:
  • Phone: 310-972-1785
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95038773
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: