Basic Information
| Provider Information | |||||||||
| NPI: | 1033453238 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CORINA RAMIREZ, DDS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4444 TWEEDY BLVD | ||||||||
| Address2: | |||||||||
| City: | SOUTH GATE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 902806304 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235612444 | ||||||||
| FaxNumber: | 3239231088 | ||||||||
| Practice Location | |||||||||
| Address1: | 15634 WHITTWOOD LN | ||||||||
| Address2: | |||||||||
| City: | WHITTIER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 906032324 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3235642444 | ||||||||
| FaxNumber: | 3239231088 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/12/2012 | ||||||||
| LastUpdateDate: | 11/12/2012 | ||||||||
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| AuthorizedOfficialLastName: | RAMIREZ | ||||||||
| AuthorizedOfficialFirstName: | CORINA | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 3239872175 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | DDS | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 122300000X | 52676 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Dental Providers | Dentist |
No ID Information.