Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivan Ruiz, PHD

Individual provider Clinical Neuropsychologist · NPI 1346056884

Ivan Ruiz, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

740 Westwood Plz Ste C8-222
Los Angeles, CA 90095-8353
Phone: (310) 206-9326
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12021 Wilmington Ave, Los Angeles, CA 90059-3019 — (310) 454-5043

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY35734 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY35734 (CA)

Record details

NPI number1346056884
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedDecember 9, 2024
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated

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