Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0207X | Pediatric Hematology-Oncologist | A107484 | CA |
NPI | 1275725061 |
---|---|
Provider Name | Dr. Maritza Elena Ruiz |
First Address | Santa Fe Springs, CA 90670-3848 |
Second Address | Long Beach, CA 90806-1652 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2007 |
Last Update Date | 17/03/2018 |