Healthcare Provider Details

I. General information

NPI: 1891612677
Provider Name (Legal Business Name): BIANCA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7480 CARSON BLVD
LONG BEACH CA
90808-2362
US

IV. Provider business mailing address

12226 LONG BEACH BLVD
LYNWOOD CA
90262-4833
US

V. Phone/Fax

Practice location:
  • Phone: 562-608-4015
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number8731
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: