Healthcare Provider Details

I. General information

NPI: 1639454531
Provider Name (Legal Business Name): MARIA ISABEL RAMIREZ LEYVA ASW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2011
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 GLEN COVE MARINA RD E STE 102
VALLEJO CA
94591-7290
US

IV. Provider business mailing address

160 GLEN COVE MARINA RD E STE 102
VALLEJO CA
94591-7290
US

V. Phone/Fax

Practice location:
  • Phone: 707-648-2000
  • Fax:
Mailing address:
  • Phone: 707-648-2000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number133803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: