Individual
JUAN LIZARDO RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
2555 E COLORADO BLVD, SUITE 100-101, PASADENA, CA 91107-6622
(626) 577-2261
(626) 577-2543
Mailing address
566 W H ST, ONTARIO, CA 91762-2706
(909) 629-2400
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C014583
DMH STAFF CODE
CA
01
—
ICAN693
LACDMH STAFF CODE
CA
Enumeration date
03/15/2007
Last updated
07/08/2007
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