Baca, Ralph Miramontes

Baca, Ralph Miramontes is an individual health care provider with primary practice located at 18321 Clark St , Tarzana CA 91356-3501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Baca, Ralph Miramontes can be contacted via phone (818) 708-5170.

Contact Information

Primary practice address
18321 Clark St Tarzana CA 91356-3501
Phone: (818) 708-5170
Fax: (818) 705-2595
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G69780 California

Profile Details

NPI number 1538102082
LBN Legal business name Baca, Ralph Miramontes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Jun 16th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538102082 NPPES
California MEDICAID 00G697800

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