Healthcare Provider Details

I. General information

NPI: 1043871718
Provider Name (Legal Business Name): XAVIER ANTONIO ORTIZ RAMIREZ DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2019
Last Update Date: 03/16/2023
Certification Date: 03/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16200 AMBER VALLEY DR
WHITTIER CA
90604-4051
US

IV. Provider business mailing address

3700 QUARTZ CANYON RD SPC 6
RIVERSIDE CA
92509-1111
US

V. Phone/Fax

Practice location:
  • Phone: 562-943-7125
  • Fax:
Mailing address:
  • Phone: 424-214-8068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0008042
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34549
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License Number34549
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License NumberCHIA-1936
License Number StateID
# 5
Primary TaxonomyY
Taxonomy Code111NX0100X
TaxonomyOccupational Health Chiropractor
License Number34549
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: