Provider Demographics
NPI:1851457485
Name:HECTOR G. RAMIREZ, M.D., INC.
Entity Type:Organization
Organization Name:HECTOR G. RAMIREZ, M.D., INC.
Other - Org Name:LAKEWEST MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:GUSTAVO
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:949-858-8652
Mailing Address - Street 1:29833 SANTA MARGARITA PKWY
Mailing Address - Street 2:STE. 200
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3619
Mailing Address - Country:US
Mailing Address - Phone:949-858-8652
Mailing Address - Fax:949-858-0162
Practice Address - Street 1:29833 SANTA MARGARITA PKWY
Practice Address - Street 2:STE. 200
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3619
Practice Address - Country:US
Practice Address - Phone:949-858-8652
Practice Address - Fax:949-858-0162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CABR0765719207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1831282300OtherNPI TYPE 1
CA1831282300OtherNPI TYPE 1
CAW11487Medicare ID - Type Unspecified