Provider Demographics
NPI:1952495624
Name:RAMIREZ-OCHOA, IGNACIO J (MD)
Entity Type:Individual
Prefix:DR
First Name:IGNACIO
Middle Name:J
Last Name:RAMIREZ-OCHOA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 NORTH PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3626
Mailing Address - Country:US
Mailing Address - Phone:619-497-1183
Mailing Address - Fax:619-497-1185
Practice Address - Street 1:3024 NORTH PARK WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3626
Practice Address - Country:US
Practice Address - Phone:619-497-1183
Practice Address - Fax:619-497-1185
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA47768207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A477680Medicaid
CAE58422Medicare UPIN
CA00A477680Medicaid