Provider Demographics
NPI:1407994551
Name:RAMKUMAR, HAMSA (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMSA
Middle Name:
Last Name:RAMKUMAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 W WHITTIER BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-3403
Mailing Address - Country:US
Mailing Address - Phone:562-690-4075
Mailing Address - Fax:562-690-4185
Practice Address - Street 1:2250 W WHITTIER BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-3403
Practice Address - Country:US
Practice Address - Phone:562-690-4075
Practice Address - Fax:562-690-4185
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA43445208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A434450Medicaid