Healthcare Provider Details

I. General information

NPI: 1467631960
Provider Name (Legal Business Name): SONYA MARIE RAMIREZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2007
Last Update Date: 10/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3150 E LOS ANGELES AVE 3150 E LOS ANGELES AVE
SIMI VALLEY CA
93065-3940
US

IV. Provider business mailing address

855 CALLE NOGAL
THOUSAND OAKS CA
91360-4729
US

V. Phone/Fax

Practice location:
  • Phone: 805-511-0830
  • Fax:
Mailing address:
  • Phone: 805-231-1204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number573633
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: