Healthcare Provider Details

I. General information

NPI: 1861022576
Provider Name (Legal Business Name): FRANCES RAMAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2020
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 N LAKE AVE
PASADENA CA
91104-4521
US

IV. Provider business mailing address

1346 HIGHLAND AVE
GLENDALE CA
91202-2047
US

V. Phone/Fax

Practice location:
  • Phone: 626-798-0706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number95211982
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: