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NPI Code Detail

MEDICARE: MS. NANCI JANE RUIZ LPT

MEDICARE: MS. NANCI JANE RUIZ LPT
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
1167G00000XLicensed Psychiatric TechnicianPT23749CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1PT23749OTHERCALPT

General Provider Information

NPI Number : 1649475104
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCI JANE RUIZ LPT
Provider Business Mailing Address
First Line : PO BOX 141
Second Line :
City : SAN MIGUEL
State : CA
Zip : 93451-0141
Country : US
Telephone Number : 805-467-3237
Fax Number :
Provider Business Practice Location Address
First Line : 2178 JOHNSON AVE
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-4535
Country : US
Telephone Number : 805-781-4700
Fax Number : 805-781-1232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 01/11/2026

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