Provider Demographics
NPI:1225915275
Name:RAMIREZ ORTIZ, LORIANNY ISAFET
Entity type:Individual
Prefix:
First Name:LORIANNY
Middle Name:ISAFET
Last Name:RAMIREZ ORTIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 812
Mailing Address - Street 2:
Mailing Address - City:FILLMORE
Mailing Address - State:CA
Mailing Address - Zip Code:93016-0812
Mailing Address - Country:US
Mailing Address - Phone:805-804-2104
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 812
Practice Address - Street 2:
Practice Address - City:FILLMORE
Practice Address - State:CA
Practice Address - Zip Code:93016-0812
Practice Address - Country:US
Practice Address - Phone:805-804-2104
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program