Healthcare Provider Details

I. General information

NPI: 1881538510
Provider Name (Legal Business Name): MARIJENE MARGATE RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5414 OBERLIN DR STE 235
SAN DIEGO CA
92121-4744
US

IV. Provider business mailing address

5414 OBERLIN DR STE 235
SAN DIEGO CA
92121-4744
US

V. Phone/Fax

Practice location:
  • Phone: 858-617-0660
  • Fax:
Mailing address:
  • Phone: 858-722-3719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number26446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: