MEDICARE: MISS AMAPOLA GUADALUPE RAMIREZ PINON

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

General Provider Information

NPI Number	:	1568580041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS AMAPOLA GUADALUPE RAMIREZ PINON

Provider Business Mailing Address
First Line	:	2629 CLAREDON AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255
Country	:	US
Telephone Number	:	233-584-3700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2629 CLARENDON AVE FL 2
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4119
Country	:	US
Telephone Number	:	233-584-3700
Fax Number	:

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

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	12/04/2023

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