Healthcare Provider Details

I. General information

NPI: 1275661688
Provider Name (Legal Business Name): MARGARITA RAMOS LICENSED CSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 05/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12440 IMPERIAL HWY STE 116
NORWALK CA
90650
US

IV. Provider business mailing address

12440 IMPERIAL HWY STE 116
NORWALK CA
90650-8347
US

V. Phone/Fax

Practice location:
  • Phone: 800-854-7771
  • Fax:
Mailing address:
  • Phone: 800-854-7771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number79442
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: