Jacqueline Ruiz
Case Manager/Care Coordinator in Agoura Hills, CA. Individual provider (NPI-1).
NPI number1891594792
StatusActive
Last updated in NPPESMar 20, 2025
Details
- NPI
- 1891594792
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Ruiz
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2025
- Certification date
- Mar 20, 2025
- Last updated
- Mar 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
28632 Roadside Dr Ste 170Agoura Hills, CA 91301-6083
Phone 818-309-9927
Mailing address
28632 Roadside Dr Ste 170Agoura Hills, CA 91301-6083
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