Provider Demographics
NPI:1982905378
Name:RAMIREZ, JOSE JR (MS)
Entity Type:Individual
Prefix:MR
First Name:JOSE
Middle Name:
Last Name:RAMIREZ
Suffix:JR
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1460 E HOLT AVE STE 166
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-5852
Mailing Address - Country:US
Mailing Address - Phone:909-865-0209
Mailing Address - Fax:
Practice Address - Street 1:1460 E HOLT AVE STE 8
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-5835
Practice Address - Country:US
Practice Address - Phone:909-865-0209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA64165106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist