Basic Information
Provider Information
NPI: 1851740708
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMIREZ BATLLE
FirstName: HAIYAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 MAIN ST
Address2:  
City: SAN QUENTIN
State: CA
PostalCode: 949641000
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1 MAIN ST
Address2:  
City: SAN QUENTIN
State: CA
PostalCode: 949641000
CountryCode: US
TelephoneNumber: 4154541460
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/10/2016
LastUpdateDate: 03/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA162085CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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