MEDICARE: EMILIO 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	106H00000X	Marriage & Family Therapist	112464	CA

General Provider Information

NPI Number	:	1154795987
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILIO RAMIREZ

Provider Business Mailing Address
First Line	:	716 PLEASANT ST
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678-1445
Country	:	US
Telephone Number	:	916-521-8583
Fax Number	:

Provider Business Practice Location Address
First Line	:	716 PLEASANT ST.
Second Line	:
City	:	ROSEVILLE
State	:	CA
Zip	:	95678
Country	:	US
Telephone Number	:	916-521-8583
Fax Number	:

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

Provider Enumeration Date	:	11/17/2015
Last Update Date	:	06/09/2026

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Directions to “ EMILIO RAMIREZ ” Practice Location

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