Healthcare Provider Details

I. General information

NPI: 1396042156
Provider Name (Legal Business Name): GABRIEL ESTEBAN RAMIREZ PENARANDA LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: GABRIEL ESTEBAN RAMIREZ PENARANDA

II. Dates (important events)

Enumeration Date: 02/14/2011
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3331 DAVIDSON DR
ANTELOPE CA
95843-2204
US

IV. Provider business mailing address

PO BOX 902
NORTH HIGHLANDS CA
95660-0902
US

V. Phone/Fax

Practice location:
  • Phone: 916-245-7109
  • Fax:
Mailing address:
  • Phone: 916-245-7109
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number106004
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: