Healthcare Provider Details

I. General information

NPI: 1063344331
Provider Name (Legal Business Name): JULISSA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1327 E EL MONTE WAY
DINUBA CA
93618-1825
US

IV. Provider business mailing address

690 E CAMBRIDGE DR
REEDLEY CA
93654-8843
US

V. Phone/Fax

Practice location:
  • Phone: 559-351-9739
  • Fax:
Mailing address:
  • Phone: 559-974-0213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number39104
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: