Provider Demographics
NPI:1346557261
Name:CAMARENA, RAMON (NP)
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:
Last Name:CAMARENA
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:37983 PANORAMA CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-5001
Mailing Address - Country:US
Mailing Address - Phone:951-894-4577
Mailing Address - Fax:951-894-4577
Practice Address - Street 1:4065 COUNTY CIRCLE DR
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92503-3410
Practice Address - Country:US
Practice Address - Phone:951-358-5077
Practice Address - Fax:951-358-7098
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2010-09-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA2474363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health