Provider Demographics
NPI:1275918864
Name:RAMIREZ, JESUS ALEXANDER JR
Entity Type:Individual
Prefix:MR
First Name:JESUS
Middle Name:ALEXANDER
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5131 LANDIS AVE
Mailing Address - Street 2:
Mailing Address - City:BALDWIN PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91706-1626
Mailing Address - Country:US
Mailing Address - Phone:626-252-7568
Mailing Address - Fax:626-967-4396
Practice Address - Street 1:12440 FIRESTONE BLVD
Practice Address - Street 2:3025
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-4328
Practice Address - Country:US
Practice Address - Phone:562-929-6688
Practice Address - Fax:562-929-9074
Is Sole Proprietor?:No
Enumeration Date:2015-07-23
Last Update Date:2015-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program