Provider Demographics
NPI:1205918943
Name:KATHERINE ROBB RAMIREZ M.D. INC
Entity type:Organization
Organization Name:KATHERINE ROBB RAMIREZ M.D. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:ROBB RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:951-533-5771
Mailing Address - Street 1:17735 LOG HILL DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92504-8845
Mailing Address - Country:US
Mailing Address - Phone:951-533-5771
Mailing Address - Fax:951-776-9147
Practice Address - Street 1:10600 MAGNOLIA AVE
Practice Address - Street 2:SUITE I
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-1819
Practice Address - Country:US
Practice Address - Phone:951-533-5771
Practice Address - Fax:951-776-9147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2019-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA208100000X208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty