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NPI Code Detail

MEDICARE: RIVER LYNN RAMAGE

MEDICARE:   RIVER LYNN RAMAGE
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1205572690
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIVER LYNN RAMAGE
Provider Business Mailing Address
First Line : 1057 E APPLETON ST APT 11
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-3474
Country : US
Telephone Number : 310-803-0747
Fax Number :
Provider Business Practice Location Address
First Line : 1057 E APPLETON ST APT 11
Second Line :
City : LONG BEACH
State : CA
Zip : 90802-3474
Country : US
Telephone Number : 562-864-7821
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2022
Last Update Date : 01/20/2026

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Directions to “ RIVER LYNN RAMAGE ” Practice Location

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