Provider Demographics
NPI:1760190565
Name:RAMIREZ, WILLIAM RADHAMES (RN)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:RADHAMES
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10330 DOWNEY AVE UNIT 31
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-5915
Mailing Address - Country:US
Mailing Address - Phone:562-879-2223
Mailing Address - Fax:
Practice Address - Street 1:8770 W PICO BLVD
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90035-2211
Practice Address - Country:US
Practice Address - Phone:310-275-2117
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95203360163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse