Provider Demographics
NPI:1528345907
Name:RUTH, CHRISTOPHER HARRISON (DAOM, LAC)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:HARRISON
Last Name:RUTH
Suffix:
Gender:M
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 S. LOOP 288
Mailing Address - Street 2:STE 104 PMB #105
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76205
Mailing Address - Country:US
Mailing Address - Phone:310-819-0225
Mailing Address - Fax:
Practice Address - Street 1:1807 WILSHIRE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-5795
Practice Address - Country:US
Practice Address - Phone:424-268-8552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-13
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14416171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist