MEDICARE: DR. RENDEL RAMSEY HOUSTON 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	208800000X	Urology Physician	G14956	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	:	1457344350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RENDEL RAMSEY HOUSTON MD

Provider Business Mailing Address
First Line	:	1333 S. MAYFLOWER AVENUE
Second Line	:
City	:	MONROVIA
State	:	CA
Zip	:	91016
Country	:	US
Telephone Number	:	626-775-3514
Fax Number	:

Provider Business Practice Location Address
First Line	:	44725 10TH ST W
Second Line	:	#170
City	:	LANCASTER
State	:	CA
Zip	:	93534-3033
Country	:	US
Telephone Number	:	661-723-7886
Fax Number	:	661-949-7746

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

Provider Enumeration Date	:	08/25/2005
Last Update Date	:	07/05/2017

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