MEDICARE: YAZMIN LETICIA RAMOS

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1114568946
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAZMIN LETICIA RAMOS

Provider Business Mailing Address
First Line	:	1500 CAMINO DEL SOL STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3725
Country	:	US
Telephone Number	:	805-604-5437
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CAMINO DEL SOL STE 1
Second Line	:
City	:	OXNARD
State	:	CA
Zip	:	93030-3725
Country	:	US
Telephone Number	:	805-604-5437
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2019
Last Update Date	:	03/24/2026

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Directions to “ YAZMIN LETICIA RAMOS ” Practice Location

Language	Start Address	Practice Location

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