Healthcare Provider Details

I. General information

NPI: 1083538359
Provider Name (Legal Business Name): JULISA SILVA RAMIREZ M.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

23301 DRACAEA AVE
MORENO VALLEY CA
92553-3201
US

IV. Provider business mailing address

3939 CRANFORD AVE APT 14
RIVERSIDE CA
92507-7227
US

V. Phone/Fax

Practice location:
  • Phone: 951-571-7500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSP40523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: