Healthcare Provider Details

I. General information

NPI: 1871977553
Provider Name (Legal Business Name): RAPID ADVANECMENT MANAGERIAL OCCUPATIONAL SYSTEM . INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2015
Last Update Date: 02/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E BEVERLY BLVD SUITE 300
MONTEBELLO CA
90640-7001
US

IV. Provider business mailing address

200 E BEVERLY BLVD SUITE 300
MONTEBELLO CA
90640-7001
US

V. Phone/Fax

Practice location:
  • Phone: 323-727-7907
  • Fax: 323-727-7979
Mailing address:
  • Phone: 323-727-7907
  • Fax: 323-727-7979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number2731927
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number2731927
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number2731927
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number2731927
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2731927
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number2731927
License Number StateCA
# 7
Primary TaxonomyN
Taxonomy Code225XM0800X
TaxonomyMental Health Occupational Therapist
License Number2731927
License Number StateCA

VIII. Authorized Official

Name: MR. PHILLIP M RAMOS
Title or Position: PRESIDENT
Credential:
Phone: 562-405-2015