Provider Demographics
NPI:1003174400
Name:RAMIREZ, TRINIDAD
Entity Type:Individual
Prefix:
First Name:TRINIDAD
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 1:11705 DEPUTY YAMAMOTO PL
Mailing Address - Street 2:
Mailing Address - City:LYNWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90262-4031
Mailing Address - Country:US
Mailing Address - Phone:323-357-6930
Mailing Address - Fax:
Practice Address - Street 1:11705 DEPUTY YAMAMOTO PL
Practice Address - Street 2:
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-4031
Practice Address - Country:US
Practice Address - Phone:323-357-6930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)