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NPI Code Detail

MEDICARE: BRENDA MARILY RAMIREZ ASW

MEDICARE: BRENDA MARILY RAMIREZ ASW
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
11041C0700XClinical Social WorkerASW 63478CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1ASW 63478OTHERCABOARD OF BEHAVIORAL SCIENCES

General Provider Information

NPI Number : 1033653977
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRENDA MARILY RAMIREZ ASW
Provider Business Mailing Address
First Line : 9451 INDIANAPOLIS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5955
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9451 INDIANAPOLIS AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92646-5955
Country : US
Telephone Number : 714-593-3803
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2016
Last Update Date : 01/04/2017

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Directions to “ BRENDA MARILY RAMIREZ ASW” Practice Location

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