Healthcare Provider Details

I. General information

NPI: 1932523503
Provider Name (Legal Business Name): JOSEFINA HERRERA RAMIREZ MASTERS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2014
Last Update Date: 06/27/2024
Certification Date: 06/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 HARVARD ST STE 210
SACRAMENTO CA
95815-3318
US

IV. Provider business mailing address

3835 N FREEWAY BLVD STE 100
SACRAMENTO CA
95834-1954
US

V. Phone/Fax

Practice location:
  • Phone: 855-501-1004
  • Fax: 916-567-3501
Mailing address:
  • Phone: 916-576-7900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number146220
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: