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NPI Code Detail

MEDICARE: ARIEL MYAH RUIZ

MEDICARE:   ARIEL MYAH RUIZ
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianCA

General Provider Information

NPI Number : 1134081730
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARIEL MYAH RUIZ
Provider Business Mailing Address
First Line : 1650 SPRUCE ST STE 250
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-7429
Country : US
Telephone Number : 760-634-1125
Fax Number :
Provider Business Practice Location Address
First Line : 1650 SPRUCE ST STE 250
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-7429
Country : US
Telephone Number : 760-634-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2025
Last Update Date : 12/02/2025

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Directions to “ ARIEL MYAH RUIZ ” Practice Location

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