Healthcare Provider Details

I. General information

NPI: 1013067636
Provider Name (Legal Business Name): EDWIN P. RAMIREZ, DDS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 05/02/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 HIGH ST
DELANO CA
93215-1713
US

IV. Provider business mailing address

1318 HIGH ST
DELANO CA
93215-1713
US

V. Phone/Fax

Practice location:
  • Phone: 661-721-1800
  • Fax:
Mailing address:
  • Phone: 661-721-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number40695
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number52105
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number40299
License Number StateCA

VIII. Authorized Official

Name: DR. EDWIN PINEDA RAMIREZ
Title or Position: OWNER PRESIDENT
Credential: D.D.S.
Phone: 661-721-1800