Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | CHR.0008042 | CO |
Y | 111NX0100X | Occupational Health | 34549 | CA |
N | 111NX0100X | Occupational Health | CHIA-1936 | ID |
NPI | 1043871718 |
---|---|
Provider Name | Dr. Xavier Antonio Ortiz Ramirez |
First Address | Riverside, CA 92509-1111 |
Second Address | Riverside, CA 92506-4167 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2019 |
Last Update Date | 18/01/2022 |