Provider Demographics
NPI:1407479843
Name:RAMOS, ANA (BA)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W SANTA ANA BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92701-4582
Mailing Address - Country:US
Mailing Address - Phone:714-667-7926
Mailing Address - Fax:714-667-7918
Practice Address - Street 1:600 W SANTA ANA BLVD STE 109
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4582
Practice Address - Country:US
Practice Address - Phone:714-667-7926
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-20
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAR1487941122101YA0400X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAR1487941122OtherREGISTERED DRUG AND ALCOHOL COUNSELOR