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NPI Code Detail

MEDICARE: PERCY DAVID RAMOS MD

MEDICARE: PERCY DAVID RAMOS MD
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
1207Q00000XFamily Medicine PhysicianA61324CA

Other Identifiers

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

General Provider Information

NPI Number : 1255368809
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERCY DAVID RAMOS MD
Provider Business Mailing Address
First Line : 4070 E OLYMPIC BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-3332
Country : US
Telephone Number : 323-268-8545
Fax Number : 323-268-8547
Provider Business Practice Location Address
First Line : 742 W HIGHLAND AVE
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-3839
Country : US
Telephone Number : 909-881-7320
Fax Number : 909-881-7330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2006
Last Update Date : 04/20/2016

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Directions to “ PERCY DAVID RAMOS MD” Practice Location

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