Healthcare Provider Details

I. General information

NPI: 1982935268
Provider Name (Legal Business Name): LYNN JOSEPH RAMIREZ, M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 01/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

303 S GLENOAKS BLVD STE 4
BURBANK CA
91502-1193
US

IV. Provider business mailing address

303 S GLENOAKS BLVD STE 4
BURBANK CA
91502-1193
US

V. Phone/Fax

Practice location:
  • Phone: 818-845-7228
  • Fax: 818-845-7298
Mailing address:
  • Phone: 818-845-7228
  • Fax: 818-845-7298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG38362
License Number StateCA

VIII. Authorized Official

Name: DR. LYNN JOSEPH RAMIREZ
Title or Position: PRESIDENT
Credential: M.D.
Phone: 818-845-7228