Healthcare Provider Details

I. General information

NPI: 1073776084
Provider Name (Legal Business Name): VIRGINIA PAREDES RAMOS N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/09/2008
Last Update Date: 12/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11525 BROOKSHIRE AVE SUITE 301
DOWNEY CA
90241-4985
US

IV. Provider business mailing address

12657 BEACH ST SUITE 301
CERRITOS CA
90703-1113
US

V. Phone/Fax

Practice location:
  • Phone: 562-862-3684
  • Fax: 562-862-7145
Mailing address:
  • Phone: 562-862-3684
  • Fax: 562-862-7145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP 18118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: