MEDICARE: SARAH RAMIREZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1073029104
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH RAMIREZ

Provider Business Mailing Address
First Line	:	4314 NAVAJO AVE
Second Line	:
City	:	OCEANSIDE
State	:	CA
Zip	:	92056-2902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	721 N VULCAN AVE STE 208
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-2191
Country	:	US
Telephone Number	:	760-634-1125
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2017
Last Update Date	:	12/27/2017

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Directions to “ SARAH RAMIREZ ” Practice Location

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