Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0221X | Pediatric Dentist | SP-159 | CA |
NPI | 1053486639 |
---|---|
Provider Name | Dr. Francisco Ramos-Gomez |
First Address | Los Angeles, CA 90095-1668 |
Second Address | Los Angeles, CA 90095-1668 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 12/07/2012 |