Provider Demographics
NPI:1437949351
Name:RAMIREZ RANGEL, JAASIEL (DDS)
Entity type:Individual
Prefix:
First Name:JAASIEL
Middle Name:
Last Name:RAMIREZ RANGEL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2387 US HIGHWAY 86
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-9780
Mailing Address - Country:US
Mailing Address - Phone:477-245-1169
Mailing Address - Fax:
Practice Address - Street 1:2387 US HIGHWAY 86
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-9780
Practice Address - Country:US
Practice Address - Phone:477-245-1169
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111239122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist