Provider Demographics
NPI:1972020550
Name:RAMIREZ-ORTIZ, LIRIAM (DC)
Entity Type:Individual
Prefix:
First Name:LIRIAM
Middle Name:
Last Name:RAMIREZ-ORTIZ
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:LIRIAM
Other - Middle Name:
Other - Last Name:RAMIREZ-ORTIZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7710 HAZARD CENTER DR STE E138
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-4550
Mailing Address - Country:US
Mailing Address - Phone:805-797-5057
Mailing Address - Fax:
Practice Address - Street 1:7801 MISSION CENTER CT STE 330
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1316
Practice Address - Country:US
Practice Address - Phone:619-291-1080
Practice Address - Fax:619-858-3075
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-24
Last Update Date:2017-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30722111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor