1376281287 NPI number — CENTER FOR ORTHOPEDIC AND SPINE PROCEDURES LLC

Table of content: SALMA ALEXANDRA RAMIREZ BS. (NPI 1881196301)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1376281287 NPI number — CENTER FOR ORTHOPEDIC AND SPINE PROCEDURES LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CENTER FOR ORTHOPEDIC AND SPINE PROCEDURES LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1376281287
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16633 VENTURA BLVD STE 802
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ENCINO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91436-1824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-986-0200
Provider Business Mailing Address Fax Number:
818-986-4393

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16633 VENTURA BLVD STE 802
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ENCINO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91436-1824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-986-0200
Provider Business Practice Location Address Fax Number:
818-986-4393
Provider Enumeration Date:
05/22/2022

Additional Information

Authorized Official

Authorized Official Last Name:
SERDA
Authorized Official First Name:
ELENA
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
818-986-0200

Provider Taxonomy Codes

  • Taxonomy code: 208600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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