MEDICARE: MRS. KRISTAL RAMIREZ LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	70133	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1033376504	OTHER	CA	BBS
2	1033376504	OTHER		BBS

General Provider Information

NPI Number	:	1033376504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTAL RAMIREZ LCSW

Provider Business Mailing Address
First Line	:	550 S VERMONT AVE FL 10
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1912
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 S VERMONT AVE FL 10
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90020-1912
Country	:	US
Telephone Number	:	213-505-0010
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2008
Last Update Date	:	02/27/2026

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