Provider Demographics
NPI:1447791561
Name:RAMIREZ ZARCO, AURORA
Entity Type:Individual
Prefix:
First Name:AURORA
Middle Name:
Last Name:RAMIREZ ZARCO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 S WINCHESTER BLVD STE 140
Mailing Address - Street 2:SUITE 140
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-4343
Mailing Address - Country:US
Mailing Address - Phone:408-261-0772
Mailing Address - Fax:
Practice Address - Street 1:1339 S WINCHESTER BLVD STE 140
Practice Address - Street 2:SUITE 140
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-4343
Practice Address - Country:US
Practice Address - Phone:408-261-0772
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-09
Last Update Date:2017-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA61000171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor