Provider Demographics
NPI:1467631960
Name:RAMIREZ, SONYA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:MARIE
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 CALLE NOGAL
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-4729
Mailing Address - Country:US
Mailing Address - Phone:805-231-1204
Mailing Address - Fax:
Practice Address - Street 1:3150 E LOS ANGELES AVE
Practice Address - Street 2:3150 E LOS ANGELES AVE
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-3940
Practice Address - Country:US
Practice Address - Phone:805-511-0830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA573633163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult