Provider Demographics
NPI:1669929402
Name:RAMOS, MARCELLA
Entity type:Individual
Prefix:MRS
First Name:MARCELLA
Middle Name:
Last Name:RAMOS
Suffix:
Gender:
Credentials:
Other - Prefix:MRS
Other - First Name:MARCI
Other - Middle Name:
Other - Last Name:RAMOS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSW
Mailing Address - Street 1:4001 MISSION OAKS BLVD STE I
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5121
Mailing Address - Country:US
Mailing Address - Phone:805-298-3558
Mailing Address - Fax:
Practice Address - Street 1:4001 MISSION OAKS BLVD
Practice Address - Street 2:SUITE I
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5121
Practice Address - Country:US
Practice Address - Phone:805-485-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
No171M00000XOther Service ProvidersCase Manager/Care Coordinator