Basic Information
Provider Information
NPI: 1689831570
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ
FirstName: OSCAR
MiddleName: OLIS
NamePrefix: DR.
NameSuffix: II
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 10069
Address2:  
City: SAN BERNARDINO
State: CA
PostalCode: 924230069
CountryCode: US
TelephoneNumber: 9093354188
FaxNumber:  
Practice Location
Address1: 2 W FERN AVE
Address2:  
City: REDLANDS
State: CA
PostalCode: 92373
CountryCode: US
TelephoneNumber: 9097933311
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/19/2008
LastUpdateDate: 05/24/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA131409CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XA131409CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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