Provider Demographics
NPI:1992102842
Name:RUIZ- BARNES, NANCY (MSW)
Entity type:Individual
Prefix:MRS
First Name:NANCY
Middle Name:
Last Name:RUIZ- BARNES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:3628 E. IMPERIAL HIGHWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262
Mailing Address - Country:US
Mailing Address - Phone:310-900-7365
Mailing Address - Fax:310-900-7367
Practice Address - Street 1:808 W 58TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90037-3632
Practice Address - Country:US
Practice Address - Phone:323-541-1600
Practice Address - Fax:310-900-7367
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health