Provider Demographics
NPI:1962795278
Name:RUZYEV, ASKAT (LAC, DIPLOM)
Entity type:Individual
Prefix:
First Name:ASKAT
Middle Name:
Last Name:RUZYEV
Suffix:
Gender:M
Credentials:LAC, DIPLOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2145 E TAHQUITZ CANYON WAY
Mailing Address - Street 2:SUITE 5
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7020
Mailing Address - Country:US
Mailing Address - Phone:760-327-2217
Mailing Address - Fax:760-327-2245
Practice Address - Street 1:2145 E TAHQUITZ CANYON WAY
Practice Address - Street 2:SUITE 5
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7020
Practice Address - Country:US
Practice Address - Phone:760-327-2217
Practice Address - Fax:760-327-2245
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-19
Last Update Date:2011-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14287171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist