MEDICARE: SUSANNE L RAMOS M.D.

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

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	:	1780789834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSANNE L RAMOS M.D.

Provider Business Mailing Address
First Line	:	2323 OAK PARK LN STE 101
Second Line	:
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 STE 101
Second Line	:
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	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	06/03/2014

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