Provider Demographics
NPI:1881042968
Name:MENDEZ RUIZ, ALDO AXEL (MD)
Entity Type:Individual
Prefix:
First Name:ALDO
Middle Name:AXEL
Last Name:MENDEZ RUIZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:421 BASALT CT
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-3331
Mailing Address - Country:US
Mailing Address - Phone:530-999-2533
Mailing Address - Fax:530-999-2532
Practice Address - Street 1:2420 SONOMA STREET
Practice Address - Street 2:STE B
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-3033
Practice Address - Country:US
Practice Address - Phone:530-999-2533
Practice Address - Fax:530-999-2532
Is Sole Proprietor?:No
Enumeration Date:2016-05-30
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAR-105452084N0400X
CAA1866402084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology