Healthcare Provider Details

I. General information

NPI: 1336964261
Provider Name (Legal Business Name): BIANEY ESPARZA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2024
Last Update Date: 11/16/2024
Certification Date: 11/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1889 LOMA LINDA CIR
LOS BANOS CA
93635-5379
US

IV. Provider business mailing address

1889 LOMA LINDA CIR
LOS BANOS CA
93635-5379
US

V. Phone/Fax

Practice location:
  • Phone: 408-663-8900
  • Fax:
Mailing address:
  • Phone: 408-663-8900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: