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NPI Code Detail

MEDICARE: RAMON OLIVAS-ORTEGA MA

MEDICARE: RAMON OLIVAS-ORTEGA MA
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
1363AM0700XMedical Physician AssistantCA

General Provider Information

NPI Number : 1225610850
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMON OLIVAS-ORTEGA MA
Provider Business Mailing Address
First Line : 44374 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3117
Country : US
Telephone Number : 760-342-6616
Fax Number :
Provider Business Practice Location Address
First Line : 44374 PALM ST
Second Line :
City : INDIO
State : CA
Zip : 92201-3117
Country : US
Telephone Number : 760-342-6616
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2021
Last Update Date : 05/27/2026

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Directions to “ RAMON OLIVAS-ORTEGA MA” Practice Location

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