Healthcare Provider Details

I. General information

NPI: 1487142360
Provider Name (Legal Business Name): VERONICA RAMOS-ARAMBULA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2018
Last Update Date: 04/26/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11555 1/2 POTRERO RD
BANNING CA
92220-6946
US

IV. Provider business mailing address

48 ROMA ST
RANCHO MIRAGE CA
92270-1933
US

V. Phone/Fax

Practice location:
  • Phone: 951-849-4761
  • Fax: 951-849-9633
Mailing address:
  • Phone: 760-562-2085
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: