Provider Demographics
NPI:1811502446
Name:RAMOS, RIANA JESSICA ABADILLA (PHARMD)
Entity type:Individual
Prefix:
First Name:RIANA JESSICA
Middle Name:ABADILLA
Last Name:RAMOS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 BAKER ST UNIT 348
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-4587
Mailing Address - Country:US
Mailing Address - Phone:562-640-0082
Mailing Address - Fax:
Practice Address - Street 1:3339 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-4032
Practice Address - Country:US
Practice Address - Phone:562-597-5338
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-10
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARPH83262183500000X
CAINT44087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist