Individual
SERGIO RAMIREZ JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDA
Contact information
Practice address
5162 WHITTIER BLVD, LOS ANGELES, CA 90022-3932
(323) 510-5920
Mailing address
619 ECHANDIA ST, LOS ANGELES, CA 90033-1664
(562) 658-9935
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
87080
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87080
—
CA
Enumeration date
08/13/2018
Last updated
08/13/2018
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