Organization
MARIO B RAMOS M D A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO BAENS RAMOS M.D. (PRESIDENT)
(760) 320-4431
Entity
Organization
Contact information
Practice address
560 S PASEO DOROTEA, SUITE 2, PALM SPRINGS, CA 92264-1434
(760) 320-4431
(760) 416-7236
Mailing address
560 S PASEO DOROTEA, SUITE 2, PALM SPRINGS, CA 92264-1434
(760) 320-4431
(760) 416-7236
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A60764
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754236
—
CA
01
—
P00159661
RAILROAD MEDICARE B
CA
Enumeration date
11/26/2007
Last updated
09/01/2015
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