Individual
ISMAEL LEONARDO RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 NEVADA ST, REDLANDS, CA 92374-2957
(877) 527-7227
Mailing address
25910 ACERO STE 160, MISSION VIEJO, CA 92691-2777
(877) 527-7227
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
30174
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326172404
MEDICAL
CA
Enumeration date
09/10/2019
Last updated
09/26/2023
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