Provider Demographics
NPI:1245354778
Name:MERCHAN, RAMONA MARIA
Entity type:Individual
Prefix:
First Name:RAMONA
Middle Name:MARIA
Last Name:MERCHAN
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 1:14906 GREVILLEA AVE
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-1459
Mailing Address - Country:US
Mailing Address - Phone:310-973-7831
Mailing Address - Fax:
Practice Address - Street 1:14906 GREVILLEA AVE
Practice Address - Street 2:
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-1459
Practice Address - Country:US
Practice Address - Phone:310-973-7831
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor