MEDICARE: DR. EDWARD JOSEPH RAMIREZ MD

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
1	174400000X	Specialist	A45791	CA
2	207V00000X	Obstetrics & Gynecology Physician	A45791	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	770417615	OTHER	CA	FEDERAL TAX ID

General Provider Information

NPI Number	:	1114038395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. EDWARD JOSEPH RAMIREZ MD

Provider Business Mailing Address
First Line	:	9833 BLUE LARKSPUR LANE
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6535
Country	:	US
Telephone Number	:	831-649-4483
Fax Number	:	831-649-9010

Provider Business Practice Location Address
First Line	:	9833 BLUE LARKSPUR LANE
Second Line	:
City	:	MONTEREY
State	:	CA
Zip	:	93940-6535
Country	:	US
Telephone Number	:	831-649-4483
Fax Number	:	831-649-9010

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	01/26/2009

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