Provider Demographics
NPI:1811129927
Name:JOSE & KARLA RUIZ, OLGA & RAMON CARDONA PARTNERSHIP
Entity type:Organization
Organization Name:JOSE & KARLA RUIZ, OLGA & RAMON CARDONA PARTNERSHIP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-527-5677
Mailing Address - Street 1:4570 BORNER ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92102-4704
Mailing Address - Country:US
Mailing Address - Phone:619-527-5677
Mailing Address - Fax:
Practice Address - Street 1:4570 BORNER ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92102-4704
Practice Address - Country:US
Practice Address - Phone:619-527-5677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UNITED MEDICAL TRANSPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-08-23
Last Update Date:2009-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)