Healthcare Provider Details

I. General information

NPI: 1023939014
Provider Name (Legal Business Name): MICHAEL RAMOS RHDHAP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 CRAIG CT APT A
REDLANDS CA
92374-4082
US

IV. Provider business mailing address

204 CRAIG CT APT A
REDLANDS CA
92374-4082
US

V. Phone/Fax

Practice location:
  • Phone: 951-288-7434
  • Fax:
Mailing address:
  • Phone: 951-288-7434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number1248
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: