Healthcare Provider Details

I. General information

NPI: 1962795278
Provider Name (Legal Business Name): ASKAT RUZYEV L.AC., DIPL.O.M.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 05/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 E TAHQUITZ CANYON WAY SUITE 5
PALM SPRINGS CA
92262-7020
US

IV. Provider business mailing address

2145 E TAHQUITZ CANYON WAY SUITE 5
PALM SPRINGS CA
92262-7020
US

V. Phone/Fax

Practice location:
  • Phone: 760-327-2217
  • Fax: 760-327-2245
Mailing address:
  • Phone: 760-327-2217
  • Fax: 760-327-2245

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number14287
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: