Healthcare Provider Details

I. General information

NPI: 1407994551
Provider Name (Legal Business Name): HAMSA RAMKUMAR M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 12/05/2023
Certification Date: 12/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 W WHITTIER BLVD STE 100
LA HABRA CA
90631-3403
US

IV. Provider business mailing address

2250 W WHITTIER BLVD STE 100
LA HABRA CA
90631-3403
US

V. Phone/Fax

Practice location:
  • Phone: 562-690-4075
  • Fax: 562-690-4185
Mailing address:
  • Phone: 562-690-4075
  • Fax: 562-690-4185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA43445
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: