Timothy Ruiz
Community Health Worker in Los Angeles, CA. Individual provider (NPI-1).
NPI number1265317440
StatusActive
Last updated in NPPESAug 7, 2025
Details
- NPI
- 1265317440
- Entity type
- Individual (NPI-1)
- Name
- Timothy Ruiz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2025
- Certification date
- Aug 7, 2025
- Last updated
- Aug 7, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | CA | Yes |
Practice location
611 E Imperial Hwy Ste 101Los Angeles, CA 90059-2359
Phone 562-772-5707
Mailing address
611 E Imperial Hwy Ste 101Los Angeles, CA 90059-2359
Phone 562-772-5707
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