Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 95012277 | CA |
N | 363L00000X | Nurse Practitioner | 95012277 | CA |
NPI | 1093182859 |
---|---|
Provider Name | Steven Robert Lee-Ramos |
First Address | Pleasant Hill, CA 94523-4316 |
Second Address | Pleasant Hill, CA 94523-4316 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2015 |
Last Update Date | 05/11/2021 |