Provider Demographics
NPI:1770578247
Name:RAMOS MEDICAL ASSOCIATES INC
Entity type:Organization
Organization Name:RAMOS MEDICAL ASSOCIATES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ENRIQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:MD,
Authorized Official - Phone:310-538-9400
Mailing Address - Street 1:22525 MAPLE AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2700
Mailing Address - Country:US
Mailing Address - Phone:310-538-9400
Mailing Address - Fax:424-328-0237
Practice Address - Street 1:22525 MAPLE AVE STE 102
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2700
Practice Address - Country:US
Practice Address - Phone:310-538-9400
Practice Address - Fax:424-328-0237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-12
Last Update Date:2024-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG30295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1477545531OtherFAMILY PRACTICE
CA1770578247OtherFAMILY PRACTICE