Individual
MS. LUPE MARIE RAMOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Mailing address
1010 W LA VETA AVE STE 750, ORANGE, CA 92868-4312
(714) 361-6600
(714) 919-8804
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
573383
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
573383
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18250
NP CERTIFICATE NUMBER
CA
01
—
1912919804
TYPE 2 NPI
CA
05
—
1912919804
—
CA
01
—
573383
RN MEDICAL LICENSE
CA
01
—
CG5665
RAILROAD MEDICARE GROUP PTAN
CA
01
—
P01428528
RAILROAD MEDICARE PROVIDER PTAN
CA
Enumeration date
10/18/2011
Last updated
07/21/2022
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