Provider Demographics
NPI:1891149183
Name:RUIZ BERBER, CLAUDIA JANET
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:JANET
Last Name:RUIZ BERBER
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 1:1415 FRUITVALE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94601-2320
Mailing Address - Country:US
Mailing Address - Phone:510-535-8401
Mailing Address - Fax:
Practice Address - Street 1:33255 NINTH ST.
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587
Practice Address - Country:US
Practice Address - Phone:510-471-5907
Practice Address - Fax:510-471-0814
Is Sole Proprietor?:No
Enumeration Date:2016-04-22
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker