Healthcare Provider Details

I. General information

NPI: 1972420255
Provider Name (Legal Business Name): ALEXANDER MANUEL RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41870 MCALBY CT
MURRIETA CA
92562-7036
US

IV. Provider business mailing address

27663 EVERGREEN WAY
VALLEY CENTER CA
92082-6972
US

V. Phone/Fax

Practice location:
  • Phone: 951-696-1600
  • Fax:
Mailing address:
  • Phone: 858-602-2044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number29456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: