Healthcare Provider Details

I. General information

NPI: 1326981309
Provider Name (Legal Business Name): ESTHER MAIRE RUIZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 GARNET AVE
SAN DIEGO CA
92109-3610
US

IV. Provider business mailing address

4609 AVOCADO BLVD
LA MESA CA
91941-7133
US

V. Phone/Fax

Practice location:
  • Phone: 619-972-7835
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number78581
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: