MEDICARE: MARK JUDE TRAMO MD APC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0008X	Neuromuscular Medicine (Psychiatry & Neurology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033432273
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARK JUDE TRAMO MD APC

Provider Business Mailing Address
First Line	:	2220 LYNN RD STE 303
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-8003
Country	:	US
Telephone Number	:	805-495-6702
Fax Number	:	805-495-6195

Provider Business Practice Location Address
First Line	:	555 MARIN ST STE 200
Second Line	:
City	:	THOUSAND OAKS
State	:	CA
Zip	:	91360-4105
Country	:	US
Telephone Number	:	805-495-6702
Fax Number	:	805-495-6195

Authorized Official
Title or Position	:	OWNER
Name	:	MARK J TRAMO
Credential	:	M.D.
Telephone Number	:	805-495-6702

Provider Enumeration Date	:	03/02/2010
Last Update Date	:	11/03/2022

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