Provider Demographics
NPI:1861940835
Name:RAMIREZ, KAYLA LEONOR
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:LEONOR
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:KAYLA
Other - Middle Name:LEONOR
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4001 MISSION OAKS BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93012-5121
Mailing Address - Country:US
Mailing Address - Phone:805-485-6114
Mailing Address - Fax:
Practice Address - Street 1:4001 MISSION OAKS BLVD STE I
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93012-5121
Practice Address - Country:US
Practice Address - Phone:805-485-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
CA933891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical