Provider Demographics
NPI:1073652707
Name:RAMOS, LUISITO SOCIAS (CADC-II AI57000518)
Entity Type:Individual
Prefix:
First Name:LUISITO
Middle Name:SOCIAS
Last Name:RAMOS
Suffix:
Gender:M
Credentials:CADC-II AI57000518
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1888 GENEVA AVE UNIT 606
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94134-3197
Mailing Address - Country:US
Mailing Address - Phone:650-787-8749
Mailing Address - Fax:
Practice Address - Street 1:1001 POTRERO AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3518
Practice Address - Country:US
Practice Address - Phone:628-206-8412
Practice Address - Fax:628-206-4153
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAII57000518101YA0400X
CAD30769101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA030769OtherCAADE