Healthcare Provider Details

I. General information

NPI: 1497835581
Provider Name (Legal Business Name): RUBY NAVARRO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 W WARNER AVE
SANTA ANA CA
92707-3147
US

IV. Provider business mailing address

2205 HALLADAY ST
SANTA ANA CA
92707-2907
US

V. Phone/Fax

Practice location:
  • Phone: 714-834-6900
  • Fax:
Mailing address:
  • Phone: 714-834-2102
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: