Provider Demographics
NPI:1831594423
Name:RAMOS DE RUIZ, NOHEMI
Entity type:Individual
Prefix:
First Name:NOHEMI
Middle Name:
Last Name:RAMOS DE RUIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13385 DRONFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SYLMAR
Mailing Address - State:CA
Mailing Address - Zip Code:91342-1402
Mailing Address - Country:US
Mailing Address - Phone:818-312-7299
Mailing Address - Fax:
Practice Address - Street 1:13385 DRONFIELD AVE
Practice Address - Street 2:
Practice Address - City:SYLMAR
Practice Address - State:CA
Practice Address - Zip Code:91342-1402
Practice Address - Country:US
Practice Address - Phone:818-312-7299
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-27
Last Update Date:2014-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA22540000XOtherREHABILITATION PRATITIONER UNLICENSED MENTAL HEALTH WORKER, PAID EMPLOYEE (MHW U