MEDICARE: DR. ROGELIO RAMOS RABANERA 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	207RG0100X	Gastroenterology Physician	A25752	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

General Provider Information

NPI Number	:	1144217589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROGELIO RAMOS RABANERA MD

Provider Business Mailing Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	STE 104
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-867-2796
Fax Number	:	562-867-0378

Provider Business Practice Location Address
First Line	:	10230 ARTESIA BLVD
Second Line	:	STE 104
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-6763
Country	:	US
Telephone Number	:	562-867-2796
Fax Number	:	562-867-0378

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

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	02/04/2010

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