Basic Information
| Provider Information | |||||||||
| NPI: | 1194767988 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RUO | ||||||||
| FirstName: | WINNIE | ||||||||
| MiddleName: | YUEH-WEN | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D | ||||||||
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| Mailing Information | |||||||||
| Address1: | 17192 MURPHY AVENUE, PO BOX 16246 | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926230497 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7143471000 | ||||||||
| FaxNumber: | 7143471082 | ||||||||
| Practice Location | |||||||||
| Address1: | 681 S PARKER ST STE 150 | ||||||||
| Address2: | |||||||||
| City: | ORANGE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 928684761 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7147440900 | ||||||||
| FaxNumber: | 7147449232 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/13/2006 | ||||||||
| LastUpdateDate: | 08/12/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/12/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | 036084276 | IL | N | Allopathic & Osteopathic Physicians | Anesthesiology | 207L00000X | G127748 | CA | Y | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.