Provider Demographics
NPI:1245965706
Name:RANJI, PATRICK (RN, BSN, MBA)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:
Last Name:RANJI
Suffix:
Gender:M
Credentials:RN, BSN, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 SUGARCANE CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-9152
Mailing Address - Country:US
Mailing Address - Phone:858-382-0834
Mailing Address - Fax:
Practice Address - Street 1:8950 SUGARCANE CT
Practice Address - Street 2:
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92883-9152
Practice Address - Country:US
Practice Address - Phone:858-382-0834
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-19
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95049004163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care MedicineGroup - Multi-Specialty