Provider Demographics
NPI:1356501449
Name:SUSANNE L RAMOS MD INC
Entity type:Organization
Organization Name:SUSANNE L RAMOS MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-898-4443
Mailing Address - Street 1:2323 OAK PARK LN
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93105-4276
Mailing Address - Country:US
Mailing Address - Phone:805-898-4443
Mailing Address - Fax:805-682-7265
Practice Address - Street 1:2323 OAK PARK LN
Practice Address - Street 2:SUITE 101
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93105-4276
Practice Address - Country:US
Practice Address - Phone:805-898-4443
Practice Address - Fax:805-682-7265
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-11
Last Update Date:2012-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA55641207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty