Provider Demographics
NPI:1437913563
Name:MACCHI RAMON, LORENA I
Entity Type:Individual
Prefix:MRS
First Name:LORENA
Middle Name:I
Last Name:MACCHI RAMON
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 1:13185 HAVEN ROCK CT
Mailing Address - Street 2:
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92883-6384
Mailing Address - Country:US
Mailing Address - Phone:951-332-1857
Mailing Address - Fax:
Practice Address - Street 1:1650 E 4TH ST
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-5151
Practice Address - Country:US
Practice Address - Phone:714-667-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist