Healthcare Provider Details

I. General information

NPI: 1619311669
Provider Name (Legal Business Name): VERONICA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2013
Last Update Date: 03/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 16TH ST CENTRAL WING, SUITE C2304
SANTA MONICA CA
90404-1249
US

IV. Provider business mailing address

1250 16TH ST CENTRAL WING, SUITE C2304
SANTA MONICA CA
90404-1249
US

V. Phone/Fax

Practice location:
  • Phone: 424-259-6000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA132943
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: