Healthcare Provider Details

I. General information

NPI: 1659253631
Provider Name (Legal Business Name): GIANNA RAMIREZ
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 DEER VALLEY RD
ANTIOCH CA
94531-8577
US

IV. Provider business mailing address

3415 MOUNT PLEASANT ST NW APT A
WASHINGTON DC
20010-1862
US

V. Phone/Fax

Practice location:
  • Phone: 925-813-6500
  • Fax:
Mailing address:
  • Phone: 562-714-8193
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: