Provider Demographics
NPI:1598118622
Name:CHILDRENS BUREAU
Entity Type:Organization
Organization Name:CHILDRENS BUREAU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY SUPPORT COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMIREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:562-324-1302
Mailing Address - Street 1:50 S ANAHEIM BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-2961
Mailing Address - Country:US
Mailing Address - Phone:714-517-1900
Mailing Address - Fax:
Practice Address - Street 1:50 S ANAHEIM BLVD STE 200
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92805-2961
Practice Address - Country:US
Practice Address - Phone:714-517-1900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-13
Last Update Date:2016-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty