Provider Demographics
NPI:1750728432
Name:RAGASA, REGINA BIANCA (DO)
Entity type:Individual
Prefix:DR
First Name:REGINA
Middle Name:BIANCA
Last Name:RAGASA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13652 CANTARA ST
Mailing Address - Street 2:
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402-5423
Mailing Address - Country:US
Mailing Address - Phone:818-375-4146
Mailing Address - Fax:818-375-2428
Practice Address - Street 1:13652 CANTARA ST
Practice Address - Street 2:DEPT OF FAMILY MEDICINE
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402-5423
Practice Address - Country:US
Practice Address - Phone:818-375-4146
Practice Address - Fax:818-375-2428
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-04
Last Update Date:2021-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A14365207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine