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NPI Code Detail

MEDICARE: EDITH RAMOS

MEDICARE:   EDITH  RAMOS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1063910883
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDITH RAMOS
Provider Business Mailing Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 805-621-7714
Fax Number :
Provider Business Practice Location Address
First Line : 1075 E BETTERAVIA RD STE 201
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-7023
Country : US
Telephone Number : 805-621-7714
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2018
Last Update Date : 07/26/2024

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Directions to “ EDITH RAMOS ” Practice Location

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