ANTHONY RUIZ - NPI 1194607317 - Student in an Organized Health Care Education/Training Program in Culver City, CA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

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About Anthony Ruiz NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTHONY RUIZ (NPI 1194607317) is an individual student in an organized health care education/training program in Culver City, California and active in the NPI registry since July 2025. He maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1194607317

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameANTHONY RUIZ

Location Address4760 SEPULVEDA BLVDCulver City, CA 90230-4820

Mailing Address323 N Prairie Ave Ste 430Inglewood, CA 90301-4506 · (310) 846-2165

Phone(310) 390-6612

Fax(310) 398-5690

Sole ProprietorNo

Enumeration DateJuly 21, 2025

Last NPPES UpdateJuly 8, 2026

NPPES CertifiedJuly 8, 2026

✔ NPI 1194607317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4760 SEPULVEDA BLVD, Culver City, CA 90230

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