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NPI Code Detail

MEDICARE: MISS GABRIELA RAMIREZ III

MEDICARE: MISS GABRIELA RAMIREZ III
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1073665105
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GABRIELA RAMIREZ III
Provider Business Mailing Address
First Line : 1605 EASTLAKE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1009
Country : US
Telephone Number : 323-226-8826
Fax Number : 323-226-2992
Provider Business Practice Location Address
First Line : 1605 EASTLAKE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90033-1009
Country : US
Telephone Number : 323-226-8826
Fax Number : 323-226-2992
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2007
Last Update Date : 07/08/2007

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Directions to “ MISS GABRIELA RAMIREZ III ” Practice Location

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