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NPI Code Detail

MEDICARE: TERESA RAMIREZ

MEDICARE: TERESA RAMIREZ
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 CounselorASW31244CA
21041C0700XClinical Social Worker110465CA

General Provider Information

NPI Number : 1649300088
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA RAMIREZ
Provider Business Mailing Address
First Line : PO BOX 1534
Second Line :
City : LA CANADA
State : CA
Zip : 91012-5534
Country : US
Telephone Number : 626-644-3242
Fax Number :
Provider Business Practice Location Address
First Line : 3787 S VERMONT AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4203
Country : US
Telephone Number : 323-373-2400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 10/12/2024

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Directions to “ TERESA RAMIREZ ” Practice Location

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