Healthcare Provider Details

I. General information

NPI: 1891294534
Provider Name (Legal Business Name): AMBER RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2018
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2026 W BEACON AVE
ANAHEIM CA
92804-4406
US

IV. Provider business mailing address

2026 W BEACON AVE
ANAHEIM CA
92804-4406
US

V. Phone/Fax

Practice location:
  • Phone: 657-276-7030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: