Healthcare Provider Details

I. General information

NPI: 1326977570
Provider Name (Legal Business Name): MARIA GUADALUPE MEJIA RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 N LANTANA ST
CAMARILLO CA
93010-9010
US

IV. Provider business mailing address

1374 FICUS WAY APT 201
VENTURA CA
93004-4840
US

V. Phone/Fax

Practice location:
  • Phone: 805-702-5191
  • Fax:
Mailing address:
  • Phone: 805-980-8573
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: