Provider Demographics
NPI:1235902396
Name:BARRANTES-RAMIREZ, IANN (CNA)
Entity Type:Individual
Prefix:MR
First Name:IANN
Middle Name:
Last Name:BARRANTES-RAMIREZ
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 N SYCAMORE AVE APT 23
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90036-2645
Mailing Address - Country:US
Mailing Address - Phone:424-421-4344
Mailing Address - Fax:360-334-9955
Practice Address - Street 1:309 N SYCAMORE AVE APT 23
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90036-2645
Practice Address - Country:US
Practice Address - Phone:424-421-4344
Practice Address - Fax:360-334-9955
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-31
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAY9346486172A00000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Multi-Specialty