Healthcare Provider Details

I. General information

NPI: 1598527236
Provider Name (Legal Business Name): KARMELLE RAMILLANO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 EAST BROADWAY SUITE 314
LONG BEACH CA
90802
US

IV. Provider business mailing address

16761 VIEWPOINT LN APT 231
HUNTINGTON BEACH CA
92647-4779
US

V. Phone/Fax

Practice location:
  • Phone: 888-588-8995
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number143186
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: