Provider Demographics
NPI:1639313406
Name:RAMIREZ, DANIEL MARIN (BA)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:MARIN
Last Name:RAMIREZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8240 BROADWAY AVE
Mailing Address - Street 2:
Mailing Address - City:WHITTIER
Mailing Address - State:CA
Mailing Address - Zip Code:90606-3120
Mailing Address - Country:US
Mailing Address - Phone:562-908-3119
Mailing Address - Fax:562-695-5919
Practice Address - Street 1:9150 IMPERIAL HWY RM P-31
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90242-2835
Practice Address - Country:US
Practice Address - Phone:562-940-3694
Practice Address - Fax:562-658-7425
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator