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NPI Code Detail

MEDICARE: DR. HECTOR GUSTAVO RAMIREZ JR. M.D.

MEDICARE:  DR. HECTOR GUSTAVO RAMIREZ JR. M.D.
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 PhysicianBR0765719CA

General Provider Information

NPI Number : 1831282300
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR GUSTAVO RAMIREZ JR. M.D.
Provider Business Mailing Address
First Line : 29833 SANTA MARGARITA PKWY
Second Line : SUITE 200
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-3619
Country : US
Telephone Number : 949-858-8652
Fax Number : 949-858-0162
Provider Business Practice Location Address
First Line : 29833 SANTA MARGARITA PKWY
Second Line : SUITE 200
City : RANCHO SANTA MARGARITA
State : CA
Zip : 92688-3619
Country : US
Telephone Number : 949-858-8652
Fax Number : 949-858-0162
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 02/24/2012

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