Healthcare Provider Details

I. General information

NPI: 1336904671
Provider Name (Legal Business Name): JAMIE W RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 04/24/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8019 S. COMPTON AVE
LOS ANGELES CA
90001
US

IV. Provider business mailing address

8019 S. COMPTON AVE
LOS ANGELES CA
90001
US

V. Phone/Fax

Practice location:
  • Phone: 323-586-7333
  • Fax:
Mailing address:
  • Phone: 323-586-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: