Provider Demographics
NPI:1669578811
Name:RAMIREZ, LYNN JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:LYNN
Middle Name:JOSEPH
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:303 S GLENOAKS BLVD
Mailing Address - Street 2:SUITE #4
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-1319
Mailing Address - Country:US
Mailing Address - Phone:818-845-7228
Mailing Address - Fax:818-845-7298
Practice Address - Street 1:303 S GLENOAKS BLVD
Practice Address - Street 2:SUITE #4
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-1319
Practice Address - Country:US
Practice Address - Phone:818-845-7228
Practice Address - Fax:818-845-7298
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2014-03-27
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Provider Licenses
StateLicense IDTaxonomies
CAG38362207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA954253739OtherTIN
CA954253739OtherTIN