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General NPI Number Information
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NPI Number | 1437476629
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Entity Type | Organization
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Legal Business Name | J RAMIREZ MEDICAL CORP
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Dates
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Enumeration Date | 04/27/2010
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 6128 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4504
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Country | US
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Telephone | 323-721-5158
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Fax | 323-721-4148
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Provider Business Mailing Address
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Address Line | 6128 WHITTIER BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90022-4504
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Country | US
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Telephone | 323-721-5158
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Fax | 323-721-4148
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JESUS G. RAMIREZ
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Credential | M.D.
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Telephone | 323-721-5158
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | A25459
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A25459
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License Number State | CA
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