Healthcare Provider Details

I. General information

NPI: 1689932121
Provider Name (Legal Business Name): XOCHITL ANGELICA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 01/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18302 IRVINE BOULEVARD # 300
TUSTIN CA
92780
US

IV. Provider business mailing address

6925 CHABOT ROAD,
OAKLAND CA
95478
US

V. Phone/Fax

Practice location:
  • Phone: 714-881-8600
  • Fax:
Mailing address:
  • Phone: 714-881-8600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247000000X
TaxonomyHealth Information Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: