MEDICARE: DR. BENJAMIN RAMOS DC

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	111N00000X	Chiropractor	33598	CA

General Provider Information

NPI Number	:	1962851592
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENJAMIN RAMOS DC

Provider Business Mailing Address
First Line	:	12774 TORREY BLUFF DR APT 92
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92130-4228
Country	:	US
Telephone Number	:	619-573-7646
Fax Number	:

Provider Business Practice Location Address
First Line	:	11588 SORRENTO VALLEY RD
Second Line	:	SUITE #22
City	:	SAN DIEGO
State	:	CA
Zip	:	92121-1336
Country	:	US
Telephone Number	:	619-734-9795
Fax Number	:

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

Provider Enumeration Date	:	06/04/2016
Last Update Date	:	11/27/2019

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Directions to “ DR. BENJAMIN RAMOS DC” Practice Location

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