MEDICARE: MR. RAMON (RAY) NONE IMAI JR. RRT

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	2279C0205X	Critical Care Registered Respiratory Therapist		TX

General Provider Information

NPI Number	:	1346345857
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAMON (RAY) NONE IMAI JR. RRT

Provider Business Mailing Address
First Line	:	2220 MENZEL PL
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-3624
Country	:	US
Telephone Number	:	408-249-0467
Fax Number	:

Provider Business Practice Location Address
First Line	:	2220 MENZEL PL
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95050-3624
Country	:	US
Telephone Number	:	408-249-0467
Fax Number	:

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

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	07/08/2007

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