Healthcare Provider Details

I. General information

NPI: 1619147402
Provider Name (Legal Business Name): CLAUDIA PATRICIA RAMIREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2008
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 UCLA MEDICAL PLAZA SUITE 420
LOS ANGALES CA
90095
US

IV. Provider business mailing address

200 UCLA MEDICAL PLAZA SUITE 420
LOS ANGELES CA
90095
US

V. Phone/Fax

Practice location:
  • Phone: 310-206-0644
  • Fax: 310-825-3074
Mailing address:
  • Phone: 310-206-0644
  • Fax: 310-825-3074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number18016
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number506213
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: