Healthcare Provider Details

I. General information

NPI: 1922193598
Provider Name (Legal Business Name): MAGED G RAMSY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 05/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 BRISTOL ST
SANTA ANA CA
92704
US

IV. Provider business mailing address

2720 BRISTOL ST
SANTA ANA CA
92704
US

V. Phone/Fax

Practice location:
  • Phone: 888-499-9303
  • Fax: 714-557-2251
Mailing address:
  • Phone: 888-499-9303
  • Fax: 714-557-2251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberC52502
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: