| Doctor Name: | MR. LUIS ANTONIO RUIZ |
| NPI Number: | 1053469932 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CADCII |
| License Number: | A3525687 |
| Business Practice Address: | 3305 G St Bldg G Merced, CA - 953400964 |
| Business Phone Number: | 2093816880 |
| Business Fax Number: | 2097236220 |
| Mailing Address: | 3305 G St Bldg G, MERCED |
| State: | CA |
| Postal Code: | 953400964 |
| Phone Number: | 2093816880 |
| Fax Number: | 2097236220 |
| NPI Enumeration Date: | 01/08/2007 |
| NPI Last Update Date: | 04/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | A3525687 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |