Doctor Name: | MS. JOANA RUAIX DURAN |
NPI Number: | 1013165943 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, PNP, CNS |
License Number: | 18461 |
Business Practice Address: | 1000 W Carson St Bldg N25 Box 468 Torrance, CA - 905022004 |
Business Phone Number: | 3102224157 |
Business Fax Number: | |
Mailing Address: | 1000 W Carson St, Bldg N25 Box 468 TORRANCE |
State: | CA |
Postal Code: | 905022004 |
Phone Number: | 3102224157 |
Fax Number: | |
NPI Enumeration Date: | 09/04/2008 |
NPI Last Update Date: | 03/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 18461 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |