| Stephanie Ramirez, | |
|
14677 Merrill Ave, Fontana, CA 92335 | |
| (951) 643-2340 | |
| Not Available |
| Full Name | Stephanie Ramirez |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 14677 Merrill Ave, Fontana, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720554306 | NPI | - | NPPES |
| 941735271 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 104749 (California) | Primary |
| Entity Name | Laguna Beach Community Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225149222 PECOS PAC ID: 5991861197 Enrollment ID: O20090312000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Ramirez, 14677 Merrill Ave, Fontana, CA 92335 Ph: () - | Stephanie Ramirez, 14677 Merrill Ave, Fontana, CA 92335 Ph: (951) 643-2340 |
Kelly Ann Jimenez, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 14677 Merrill Ave, Fontana, CA 92335 Phone: 951-643-2340 | |
Alexis Uriel Tovar, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14677 Merrill Ave, Fontana, CA 92335 Phone: 909-643-2340 | |
Diana Perez Duran, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-997-2645 | |
Ms. Monica Victoria Pulido, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8485 Tamarind Ave, Fontana, CA 92335 Phone: 909-428-2366 | |
Monique Bautista, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6101 Cherry Ave, Fontana, CA 92336 Phone: 909-202-8361 | |
Miguel Angel Velasco-ceja, MSW; ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15218 Summit Ave Ste 300-214, Fontana, CA 92336 Phone: 909-219-4500 | |
Joel Latimer, MFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910 |