Healthcare Provider Details

I. General information

NPI: 1386497204
Provider Name (Legal Business Name): NORMA ITZEL GUTIERREZ RAMIREZ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NORMA ITZEL RAMIREZ URIBE

II. Dates (important events)

Enumeration Date: 04/10/2024
Last Update Date: 04/10/2024
Certification Date: 04/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

IV. Provider business mailing address

400 W PUEBLO ST
SANTA BARBARA CA
93105-4353
US

V. Phone/Fax

Practice location:
  • Phone: 805-569-7315
  • Fax: 805-569-8358
Mailing address:
  • Phone: 805-569-7315
  • Fax: 805-569-8358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: