Provider Demographics
NPI:1073776191
Name:RAMOS, NEILL (MD)
Entity Type:Individual
Prefix:
First Name:NEILL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1050 LINDEN AVE
Mailing Address - Street 2:DEPARTMENT OF MEDICAL EDUCATION
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90813-3321
Mailing Address - Country:US
Mailing Address - Phone:562-491-9350
Mailing Address - Fax:562-491-9146
Practice Address - Street 1:1045 ATLANTIC AVE
Practice Address - Street 2:SUITE 708
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90813-3408
Practice Address - Country:US
Practice Address - Phone:562-491-9045
Practice Address - Fax:562-491-9353
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2012-04-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA104711207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine