MEDICARE: ANDREA MARINA RAMSEY 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	390200000X	Student in an Organized Health Care Education/Training Program
2	207R00000X	Internal Medicine Physician	A155319	CA

General Provider Information

NPI Number	:	1790172450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA MARINA RAMSEY MD

Provider Business Mailing Address
First Line	:	4136 BACHMAN PLACE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2028
Country	:	US
Telephone Number	:	858-822-4995
Fax Number	:

Provider Business Practice Location Address
First Line	:	4136 BACHMAN PLACE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92103-2028
Country	:	US
Telephone Number	:	800-926-8273
Fax Number	:

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

Provider Enumeration Date	:	04/21/2015
Last Update Date	:	10/27/2021

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