Healthcare Provider Details

I. General information

NPI: 1285614750
Provider Name (Legal Business Name): RAMON U. FERRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2006
Last Update Date: 03/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11980 MOUNT VERNON AVE
GRAND TERRACE CA
92313-5172
US

IV. Provider business mailing address

37356 SPRINGDALE AVE
PALM DESERT CA
92211-1302
US

V. Phone/Fax

Practice location:
  • Phone: 909-864-1097
  • Fax: 909-503-1216
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME92163
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: