Provider Demographics
NPI:1770670200
Name:PEREZ RAMIREZ, LUIS A (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:A
Last Name:PEREZ RAMIREZ
Suffix:
Gender:M
Credentials:PSYD
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Mailing Address - Street 1:240 DOLORES ST APT 307
Mailing Address - Street 2:SAN FRANCISCO
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2258
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 MONTGOMERY ST STE 1019
Practice Address - Street 2:SAN FRANCISCO
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-3434
Practice Address - Country:US
Practice Address - Phone:415-377-8001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY19771103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist