MEDICARE: VIVIAN R RAMIREZ

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1164948527
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIVIAN R RAMIREZ

Provider Business Mailing Address
First Line	:	8787 COMPLEX DR STE 300
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1453
Country	:	US
Telephone Number	:	619-433-5883
Fax Number	:

Provider Business Practice Location Address
First Line	:	8787 COMPLEX DR STE 300
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92123-1453
Country	:	US
Telephone Number	:	619-433-5883
Fax Number	:

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

Provider Enumeration Date	:	08/17/2017
Last Update Date	:	04/22/2025

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Directions to “ VIVIAN R RAMIREZ ” Practice Location

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