Healthcare Provider Details

I. General information

NPI: 1902435753
Provider Name (Legal Business Name): READY RESPONDERS CALIFORNIA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2020
Last Update Date: 05/26/2021
Certification Date: 05/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1308 FACTORY PL APT 103
LOS ANGELES CA
90013-2255
US

IV. Provider business mailing address

5065 WOOSTER RD # 005818
CINCINNATI OH
45226-2326
US

V. Phone/Fax

Practice location:
  • Phone: 504-370-9966
  • Fax:
Mailing address:
  • Phone: 504-370-9966
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE NORIEA
Title or Position: SECRETARY
Credential:
Phone: 512-341-0900