Healthcare Provider Details

I. General information

NPI: 1235056664
Provider Name (Legal Business Name): MADISON P RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7120 FRANKLIN AVE
LOS ANGELES CA
90046-3002
US

IV. Provider business mailing address

7120 FRANKLIN AVE
LOS ANGELES CA
90046-3002
US

V. Phone/Fax

Practice location:
  • Phone: 323-876-0550
  • Fax: 909-414-7677
Mailing address:
  • Phone: 323-876-0550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: