Provider Demographics
NPI:1649490202
Name:RAMIREZ, MONICA EUGENIA (DDS)
Entity type:Individual
Prefix:DR
First Name:MONICA
Middle Name:EUGENIA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10415 PARAMONT BLVD
Mailing Address - Street 2:#231
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2368
Mailing Address - Country:US
Mailing Address - Phone:562-928-1274
Mailing Address - Fax:
Practice Address - Street 1:555 SOUTH MOUNT VERNON AVE
Practice Address - Street 2:SUITE G
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-2700
Practice Address - Country:US
Practice Address - Phone:909-384-7374
Practice Address - Fax:909-384-7394
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44436122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG9308901OtherMEDICAL DENTICAL