Ruiz, Roberto
Ruiz, Roberto is an sole proprietor health care provider with primary practice located at 18818 Outer Hwy 18 , Apple Valley CA 92307-2323. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Student, Health Care / Student in an Organized Health Care Education/Training Program. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Ruiz, Roberto can be contacted via phone (760) 995-8868.Contact Information
Primary practice address
18818 Outer Hwy 18
Apple Valley CA 92307-2323
Phone: (760) 995-8868
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X | ||
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 16627 | California |
Profile Details
| NPI number | 1043718737 |
|---|---|
| LBN Legal business name | Ruiz, Roberto |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 27th, 2018 |
| Last updated | Sep 4th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043718737 | NPPES |
| California | MEDICAID | 1043718737 | |
| California | Other | 1043718737 |
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