Organization
J RAMIREZ MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESUS G. RAMIREZ M.D. (PRESIDENT)
(323) 721-5158
Entity
Organization
Contact information
Practice address
6128 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
(323) 721-5158
(323) 721-4148
Mailing address
6128 WHITTIER BLVD, LOS ANGELES, CA 90022-4504
(323) 721-5158
(323) 721-4148
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
A25459
CA
261QM2500X
Medical Specialty Clinic/Center
Primary
A25459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A25459
—
CA
01
—
A25459
MEDICARE PTAN
CA
01
—
DN270A
MEDICARE PTAN
CA
Enumeration date
04/27/2010
Last updated
08/05/2011
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