MEDICARE: SUSANNE L RAMOS MD INC

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	207V00000X	Obstetrics & Gynecology Physician	A55641	CA

General Provider Information

NPI Number	:	1356501449
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUSANNE L RAMOS MD INC

Provider Business Mailing Address
First Line	:	2323 OAK PARK LN
Second Line	:	SUITE 101
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4276
Country	:	US
Telephone Number	:	805-898-4443
Fax Number	:	805-682-7265

Provider Business Practice Location Address
First Line	:	2323 OAK PARK LN
Second Line	:	SUITE 101
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4276
Country	:	US
Telephone Number	:	805-898-4443
Fax Number	:	805-682-7265

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUSANNE L RAMOS
Credential	:	MD
Telephone Number	:	805-898-4443

Provider Enumeration Date	:	06/11/2008
Last Update Date	:	01/10/2012

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