1174681290 NPI number — MR. MIGUEL H RAMIREZ LCSW BCD

Table of content: MR. MIGUEL H RAMIREZ LCSW BCD (NPI 1174681290)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174681290 NPI number — MR. MIGUEL H RAMIREZ LCSW BCD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RAMIREZ
Provider First Name:
MIGUEL
Provider Middle Name:
H
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
LCSW BCD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RAMIREZZ
Provider Other First Name:
MICHAEL
Provider Other Middle Name:
H G
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW BCD
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1174681290
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8730 ALDEN DR
Provider Second Line Business Mailing Address:
RM W114
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90048-3811
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
310-423-3567
Provider Business Mailing Address Fax Number:
310-423-0114

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8730 ALDEN DR
Provider Second Line Business Practice Location Address:
RM W114
Provider Business Practice Location Address City Name:
LOS ANGELES
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90048-3811
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
310-423-3567
Provider Business Practice Location Address Fax Number:
310-423-0114
Provider Enumeration Date:
12/04/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LCSW04535 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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