Provider Demographics
NPI:1598431959
Name:RUIZ, EMMA LORUHAMA
Entity type:Individual
Prefix:
First Name:EMMA
Middle Name:LORUHAMA
Last Name:RUIZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4725 PANAMA LN UNIT D3448
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-3404
Mailing Address - Country:US
Mailing Address - Phone:661-241-3233
Mailing Address - Fax:
Practice Address - Street 1:4221 ADIDAS AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93313-2404
Practice Address - Country:US
Practice Address - Phone:661-241-3233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist