Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | A84199 | CA |
NPI | 1023204468 |
---|---|
Provider Name | Dr. Pedro Jose Ruiz |
First Address | San Francisco, CA 94115-2373 |
Second Address | San Francisco, CA 94115-2373 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/09/2007 |
Last Update Date | 01/07/2010 |