1760613277 NPI number — ELIZABETH RAMOS

Table of content: ELIZABETH RAMOS (NPI 1760613277)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760613277 NPI number — ELIZABETH RAMOS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMOS
Provider First Name:
ELIZABETH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

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:
1760613277
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
815 COLORADO BLVD STE 300
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90041-1744
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-543-2800
Provider Business Mailing Address Fax Number:
909-596-0527

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
50 E FOOTHILL BLVD STE 300
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ARCADIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91006-2314
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
626-919-3579
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/31/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225400000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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