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NPI Code Detail

MEDICARE: REFUGIO ARMANDO RUAN

MEDICARE: REFUGIO ARMANDO RUAN
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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family TherapistLMFT86372CA

General Provider Information

NPI Number : 1902137292
Entity Type Code : Individual
Provider Name (Legal Business Name) : REFUGIO ARMANDO RUAN
Provider Business Mailing Address
First Line : PO BOX 5074
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-1074
Country : US
Telephone Number : 562-292-5302
Fax Number :
Provider Business Practice Location Address
First Line : 11731 TELEGRAPH RD STE K
Second Line :
City : SANTA FE SPRINGS
State : CA
Zip : 90670-6815
Country : US
Telephone Number : 626-701-9710
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2010
Last Update Date : 01/24/2022

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Directions to “ REFUGIO ARMANDO RUAN ” Practice Location

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