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NPI Code Detail

MEDICARE: HECTOR G. RAMIREZ, M.D., INC.

MEDICARE: HECTOR G. RAMIREZ, M.D., INC.
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11831282300OTHERCANPI TYPE 1

General Provider Information

NPI Number : 1851457485
Entity Type Code : Organization
Provider Name (Legal Business Name) : HECTOR G. RAMIREZ, M.D., INC.
Provider Business Mailing Address
First Line : 29833 SANTA MARGARITA PKWY
Second Line : STE. 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 : STE. 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 : PRESIDENT
Name : DR. HECTOR GUSTAVO RAMIREZ
Credential : M.D.
Telephone Number : 949-858-8652
Provider Enumeration Date : 12/28/2006
Last Update Date : 02/22/2012

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