Healthcare Provider Details

I. General information

NPI: 1851233472
Provider Name (Legal Business Name): ANDREW RAMIREZ
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 ELROVIA AVE
EL MONTE CA
91732-2125
US

IV. Provider business mailing address

4145 ELROVIA AVE
EL MONTE CA
91732-2125
US

V. Phone/Fax

Practice location:
  • Phone: 626-634-5359
  • Fax:
Mailing address:
  • Phone: 626-634-5359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: