Healthcare Provider Details

I. General information

NPI: 1265112452
Provider Name (Legal Business Name): ELSIE D. RAMIREZ M.A EDUCATIONAL SPEC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date: 04/02/2024
Reactivation Date: 05/19/2026

III. Provider practice location address

1515 HUGHES WAY
LONG BEACH CA
90810-1865
US

IV. Provider business mailing address

1515 HUGHES WAY
LONG BEACH CA
90810-1865
US

V. Phone/Fax

Practice location:
  • Phone: 562-997-8000
  • Fax:
Mailing address:
  • Phone: 562-997-8000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLEP4731
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number230061076
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: