Healthcare Provider Details

I. General information

NPI: 1093660623
Provider Name (Legal Business Name): DIANA RUIZ DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 MARKET ST
SAN FRANCISCO CA
94114-1612
US

IV. Provider business mailing address

2215 MARKET ST
SAN FRANCISCO CA
94114-1612
US

V. Phone/Fax

Practice location:
  • Phone: 415-763-1571
  • Fax:
Mailing address:
  • Phone: 415-763-1571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC37597
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: