Healthcare Provider Details

I. General information

NPI: 1225694177
Provider Name (Legal Business Name): CAROLINA RAMIREZ
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2019
Last Update Date: 04/09/2024
Certification Date: 04/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7600 E. GRAVES AVE
ROSEMEAD CA
91770-6807
US

IV. Provider business mailing address

7600 E. GRAVES AVE
ROSEMEAD CA
91770-6807
US

V. Phone/Fax

Practice location:
  • Phone: 626-280-6510
  • Fax: 626-288-1026
Mailing address:
  • Phone: 626-280-6510
  • Fax: 626-288-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number116550
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: