Provider Demographics
NPI:1417235482
Name:RAMOS, DIANA DEE (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:DEE
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10600 FIRESTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-7410
Mailing Address - Country:US
Mailing Address - Phone:562-406-8861
Mailing Address - Fax:562-406-8861
Practice Address - Street 1:10600 FIRESTONE BLVD
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-7410
Practice Address - Country:US
Practice Address - Phone:562-406-8861
Practice Address - Fax:562-406-8861
Is Sole Proprietor?:No
Enumeration Date:2011-07-25
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA57518183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist