Healthcare Provider Details

I. General information

NPI: 1669281895
Provider Name (Legal Business Name): ASHLEY ARELY RAMOS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2025
Last Update Date: 01/02/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N RENO ST
LOS ANGELES CA
90026-4656
US

IV. Provider business mailing address

150 N RENO ST
LOS ANGELES CA
90026-4656
US

V. Phone/Fax

Practice location:
  • Phone: 213-380-7298
  • Fax: 323-201-2408
Mailing address:
  • Phone: 323-486-2494
  • Fax: 323-201-2408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: