Provider Demographics
NPI:1720367808
Name:ARANDA RAMIREZ, FELIPE DE JESUS
Entity Type:Individual
Prefix:
First Name:FELIPE
Middle Name:DE JESUS
Last Name:ARANDA RAMIREZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 ALUM ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95127-2807
Mailing Address - Country:US
Mailing Address - Phone:408-710-9475
Mailing Address - Fax:408-998-1535
Practice Address - Street 1:3030 ALUM ROCK AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-2807
Practice Address - Country:US
Practice Address - Phone:408-710-9475
Practice Address - Fax:408-998-1535
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2023-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1073791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical