Healthcare Provider Details

I. General information

NPI: 1356447965
Provider Name (Legal Business Name): VICTOR N RAMIREZ L.C.S.W., M.S.W.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 04/26/2021
Certification Date: 04/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14320 PALM DR
DESERT HOT SPRINGS CA
92240-6874
US

IV. Provider business mailing address

PO BOX 730
DESERT HOT SPRINGS CA
92240-0730
US

V. Phone/Fax

Practice location:
  • Phone: 760-773-6767
  • Fax: 760-773-6760
Mailing address:
  • Phone: 760-773-6767
  • Fax: 760-773-6760

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS 22784
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: