Provider Demographics
NPI:1174681290
Name:RAMIREZ, MIGUEL H (LCSW BCD)
Entity Type:Individual
Prefix:MR
First Name:MIGUEL
Middle Name:H
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:LCSW BCD
Other - Prefix:
Other - First Name:MICHAEL
Other - Middle Name:H G
Other - Last Name:RAMIREZZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW BCD
Mailing Address - Street 1:8730 ALDEN DR
Mailing Address - Street 2:RM W114
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90048-3811
Mailing Address - Country:US
Mailing Address - Phone:310-423-3567
Mailing Address - Fax:310-423-0114
Practice Address - Street 1:8730 ALDEN DR
Practice Address - Street 2:RM W114
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90048-3811
Practice Address - Country:US
Practice Address - Phone:310-423-3567
Practice Address - Fax:310-423-0114
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW045351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical