Provider Demographics
NPI:1003064361
Name:RAMIREZ, YESSENIA
Entity Type:Individual
Prefix:MRS
First Name:YESSENIA
Middle Name:
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4018 CITY TERRACE DR
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90063-1242
Mailing Address - Country:US
Mailing Address - Phone:323-268-3219
Mailing Address - Fax:323-268-2578
Practice Address - Street 1:4018 CITY TERRACE DR
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90063-1242
Practice Address - Country:US
Practice Address - Phone:323-268-3219
Practice Address - Fax:323-268-2578
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-28
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker