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NPI Code Detail

MEDICARE: MS. CHERYL ANN LAO SAMSON RAMIREZ LCSW

MEDICARE: MS. CHERYL ANN LAO SAMSON 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
11041C0700XClinical Social Worker
2101YM0800XMental Health Counselor34580CA
31041C0700XClinical Social WorkerLCSW75891CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043349798
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHERYL ANN LAO SAMSON RAMIREZ LCSW
Provider Business Mailing Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-3841
Fax Number : 213-241-3305
Provider Business Practice Location Address
First Line : 333 S BEAUDRY AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1466
Country : US
Telephone Number : 213-241-5713
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 09/21/2018

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