Basic Information
| Provider Information | |||||||||
| NPI: | 1871023499 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAMIREZ | ||||||||
| FirstName: | MARIA | ||||||||
| MiddleName: | LUISA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 850 E WARDLOW RD | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908074628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629819392 | ||||||||
| FaxNumber: | 5629812622 | ||||||||
| Practice Location | |||||||||
| Address1: | 850 E. WARDLOW ROAD | ||||||||
| Address2: | |||||||||
| City: | LONG BEACH | ||||||||
| State: | CA | ||||||||
| PostalCode: | 908074628 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5629819392 | ||||||||
| FaxNumber: | 5629812622 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2017 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225400000X | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Rehabilitation Practitioner |
No ID Information.