Healthcare Provider Details

I. General information

NPI: 1942125349
Provider Name (Legal Business Name): LEYLA MARIA RAMOS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1610 266TH ST
HARBOR CITY CA
90710-3610
US

IV. Provider business mailing address

PO BOX 4904
RIVERSIDE CA
92514-4904
US

V. Phone/Fax

Practice location:
  • Phone: 310-908-4168
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number106349
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: