Provider Demographics
NPI:1346685203
Name:RUIZ, SONIZ J
Entity Type:Individual
Prefix:
First Name:SONIZ
Middle Name:J
Last Name:RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1644 E LA DENEY DR
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-2222
Mailing Address - Country:US
Mailing Address - Phone:909-329-9282
Mailing Address - Fax:
Practice Address - Street 1:1644 E LA DENEY DR
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-2222
Practice Address - Country:US
Practice Address - Phone:909-329-9282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2013-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health