Provider Demographics
NPI:1790025823
Name:RAMIREZ, TIM V (DC)
Entity type:Individual
Prefix:DR
First Name:TIM
Middle Name:V
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:150 PAULARINO AVE
Mailing Address - Street 2:A168
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-3301
Mailing Address - Country:US
Mailing Address - Phone:949-677-7763
Mailing Address - Fax:949-209-2624
Practice Address - Street 1:150 PAULARINO AVE
Practice Address - Street 2:A168
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-3301
Practice Address - Country:US
Practice Address - Phone:949-677-7763
Practice Address - Fax:949-209-2624
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CADC27157111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition