MR. GEORGE RAMIREZ VELASQUEZ


Address: 3rdlarbn, H&s Company, Medical Bas, Mcgacc 29 Palms, 1stmardivdet, Twentynine Palms, CA 92278-1321
Phone: 7608306062

MR. GEORGE RAMIREZ VELASQUEZ (NPI# 1740453414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740453414
Entity Type Individual
Full Name MR. GEORGE RAMIREZ VELASQUEZ
Other Name MR. GEORGE RAMIREZ VELASQUEZ
Credential INDEPENDENT DUTY HM
Practice Address 3rdlarbn, H&s Company, Medical Bas
Mcgacc 29 Palms, 1stmardivdet
Twentynine Palms
CA 92278-1321
Mailing Address 5553 Baileya Ave
Twentynine Palms
CA 92277-1321
Practice Telephone 7608306062
Mailing Telephone 7603675443
Enumeration Date 2008-04-02
Last Update Date 2008-04-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3RDLARBN, H&S COMPANY, MEDICAL BAS
MCGACC 29 PALMS, 1STMARDIVDET
City TWENTYNINE PALMS
State CA
Zip Code 92278-1321

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City TWENTYNINE PALMS
Zip Code 92278

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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