# J RAMIREZ MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437476629
- **Authorized official:** DR. JESUS G. RAMIREZ M.D. (PRESIDENT)
- **Authorized official phone:** (323) 721-5158

## Contact information

- **Practice address:** 6128 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
- **Practice address phone:** (323) 721-5158
- **Practice address fax:** (323) 721-4148
- **Mailing address:** 6128 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
- **Mailing address phone:** (323) 721-5158
- **Mailing address fax:** (323) 721-4148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | A25459 | CA | — |
| 261QM2500X | Medical Specialty Clinic/Center | A25459 | CA | Yes |

## Other

- **Enumeration date:** 04/27/2010
- **Last updated:** 08/05/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A25459 | — | CA |
| 01 | — | A25459 | MEDICARE PTAN | CA |
| 01 | — | DN270A | MEDICARE PTAN | CA |
