Healthcare Provider Details

I. General information

NPI: 1306306857
Provider Name (Legal Business Name): CHRISTIAN JAIME RAMIREZ HARO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2019
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10666 N TORREY PINES RD
LA JOLLA CA
92037-1027
US

IV. Provider business mailing address

741 MARA LOOP UNIT 1
CHULA VISTA CA
91911-6298
US

V. Phone/Fax

Practice location:
  • Phone: 858-554-3234
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number318524
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberA179256
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License NumberA179256
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: