Provider Demographics
NPI:1073776084
Name:RAMOS, VIRGINIA PAREDES (NP)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:PAREDES
Last Name:RAMOS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12657 BEACH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-1113
Mailing Address - Country:US
Mailing Address - Phone:562-862-3684
Mailing Address - Fax:562-862-7145
Practice Address - Street 1:11525 BROOKSHIRE AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4985
Practice Address - Country:US
Practice Address - Phone:562-862-3684
Practice Address - Fax:562-862-7145
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2016-12-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CANP 18118363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANP 18118OtherBOARD OF REGISTERED NURSING
CARN 515982OtherBOARD OF REGISTERED NURSING