Healthcare Provider Details

I. General information

NPI: 1225268501
Provider Name (Legal Business Name): ELIZABETH ANN RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2009
Last Update Date: 10/02/2025
Certification Date: 10/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6969 BROCKTON AVE STE AB
RIVERSIDE CA
92506-3833
US

IV. Provider business mailing address

6969 BROCKTON AVE STE AB
RIVERSIDE CA
92506-3833
US

V. Phone/Fax

Practice location:
  • Phone: 951-530-8989
  • Fax: 951-530-8877
Mailing address:
  • Phone: 951-530-8989
  • Fax: 951-530-8877

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberC168076
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberP7338
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: