Healthcare Provider Details

I. General information

NPI: 1639807217
Provider Name (Legal Business Name): BEE RAMIREZ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BEE RAMIREZ MEDICAL DOCTOR

II. Dates (important events)

Enumeration Date: 08/11/2022
Last Update Date: 08/11/2022
Certification Date: 08/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9961 SIERRA AVE
FONTANA CA
92335-6720
US

IV. Provider business mailing address

2140 MENTONE BLVD UNIT 8
MENTONE CA
92359
US

V. Phone/Fax

Practice location:
  • Phone: 562-639-9026
  • Fax:
Mailing address:
  • Phone: 562-639-9026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LA0401X
TaxonomyAddiction Medicine (Anesthesiology) Physician
License NumberB883531767
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License NumberB883531767
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: