Provider Demographics
NPI:1508946419
Name:RAMER, SANDRA JEAN (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:JEAN
Last Name:RAMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1301 20TH ST
Mailing Address - Street 2:SUITE 390
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-2050
Mailing Address - Country:US
Mailing Address - Phone:310-453-3568
Mailing Address - Fax:310-828-1403
Practice Address - Street 1:1301 20TH ST
Practice Address - Street 2:SUITE 390
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90404-2050
Practice Address - Country:US
Practice Address - Phone:310-453-3568
Practice Address - Fax:310-828-1403
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2011-10-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG26113207R00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG26113Medicaid
CAA42909Medicare UPIN
CAG26113Medicaid