Healthcare Provider Details

I. General information

NPI: 1154664993
Provider Name (Legal Business Name): MR. ARTHUR ROBERT RAMIREZ JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2013
Last Update Date: 03/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 FIRESTONE BLVD STE 1000
NORWALK CA
90650-4366
US

IV. Provider business mailing address

8433 VICKI DR
WHITTIER CA
90606-3231
US

V. Phone/Fax

Practice location:
  • Phone: 562-864-3722
  • Fax: 562-864-4596
Mailing address:
  • Phone: 562-889-3482
  • Fax: 562-864-4596

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number01-049221
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: