Micah Ruiz, | |
2741 Hamner Ave Ste 202, Norco, CA 92860-3630 | |
(888) 512-6867 | |
Not Available |
Full Name | Micah Ruiz |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2741 Hamner Ave Ste 202, Norco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750752457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFTI 92345 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 107401 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Micah Ruiz, Po Box 1641, Upland, CA 91785-1641 Ph: (866) 205-3595 | Micah Ruiz, 2741 Hamner Ave Ste 202, Norco, CA 92860-3630 Ph: (888) 512-6867 |
Wendy Buckingham, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 960 6th St, #101a-141, Norco, CA 92860 Phone: 760-987-1680 | |
Mr. Adrian De Leon Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2741 Hamner Ave Ste 202, Norco, CA 92860 Phone: 951-444-5819 | |
Karissa Lentz, PSYD, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2260 Vista Ridge Cir, Norco, CA 92860 Phone: 619-685-9769 | |
Mrs. Carole Lee Reitsma, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 926 3rd St, Norco, CA 92860 Phone: 714-356-8188 | |
Maria B Sandi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2741 Hamner Ave Ste 202, Norco, CA 92860 Phone: 888-512-6867 Fax: 888-859-0638 | |
Dr. Craig Horton, PH.D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3063 Arapaho St, Norco, CA 92860 Phone: 714-490-3884 | |
Fazlollah Aldavoud, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Fifth And Western California Rehabilitation Center, Dept Of Corrections State Of California, Norco, CA 92860 Phone: 951-737-2683 Fax: 951-273-2974 |