Provider Demographics
NPI:1710182589
Name:RAMIREZ, EVANGELINA (NP)
Entity Type:Individual
Prefix:
First Name:EVANGELINA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:EVANGELINA
Other - Middle Name:
Other - Last Name:ANAYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:1715 E 55TH ST
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90805-5507
Mailing Address - Country:US
Mailing Address - Phone:562-423-9807
Mailing Address - Fax:
Practice Address - Street 1:200 UCLA MEDICAL PLZ STE 224
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6926
Practice Address - Country:US
Practice Address - Phone:310-825-6771
Practice Address - Fax:310-206-4585
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA620496363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health