Provider Demographics
NPI:1457949091
Name:VENTURA, RAMON GUILLERMO III
Entity Type:Individual
Prefix:MR
First Name:RAMON
Middle Name:GUILLERMO
Last Name:VENTURA
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36677 OAK MEADOWS PL
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-4386
Mailing Address - Country:US
Mailing Address - Phone:951-816-0504
Mailing Address - Fax:
Practice Address - Street 1:36677 OAK MEADOWS PL
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-4386
Practice Address - Country:US
Practice Address - Phone:951-816-0504
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95236249163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse