Provider Demographics
NPI:1316158645
Name:RUIZ, FRANCISCO JOSE (PA)
Entity type:Individual
Prefix:MR
First Name:FRANCISCO
Middle Name:JOSE
Last Name:RUIZ
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:1479 W LACEY BLVD
Mailing Address - Street 2:
Mailing Address - City:HANFORD
Mailing Address - State:CA
Mailing Address - Zip Code:93230-5906
Mailing Address - Country:US
Mailing Address - Phone:559-583-4617
Mailing Address - Fax:559-583-4625
Practice Address - Street 1:501 6TH ST
Practice Address - Street 2:
Practice Address - City:TAFT
Practice Address - State:CA
Practice Address - Zip Code:93268-2704
Practice Address - Country:US
Practice Address - Phone:661-763-5131
Practice Address - Fax:661-763-5137
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2014-09-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAPA 10022363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical