Provider Demographics
NPI:1699177824
Name:GARCIA, RAMIL OBRADOR (RN)
Entity type:Individual
Prefix:
First Name:RAMIL
Middle Name:OBRADOR
Last Name:GARCIA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2021 MILAGRO PL
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93030-7272
Mailing Address - Country:US
Mailing Address - Phone:805-822-8282
Mailing Address - Fax:
Practice Address - Street 1:2021 MILAGRO PL
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7272
Practice Address - Country:US
Practice Address - Phone:805-822-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-18
Last Update Date:2014-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA721201163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse