Provider Demographics
NPI:1831956523
Name:RAMOS, DAISY (SLP)
Entity type:Individual
Prefix:MS
First Name:DAISY
Middle Name:
Last Name:RAMOS
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8435 SAN VINCENTE AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH GATE
Mailing Address - State:CA
Mailing Address - Zip Code:90280-2527
Mailing Address - Country:US
Mailing Address - Phone:562-480-8810
Mailing Address - Fax:
Practice Address - Street 1:201 SAND CREEK RD STE G4
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:CA
Practice Address - Zip Code:94513-2494
Practice Address - Country:US
Practice Address - Phone:925-529-4790
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34274235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist