| Bold Within | |
|
257 W. Seventh St San Pedro CA 90731 | |
| (562) 477-5815 | |
| Not Available |
| Full Name | Bold Within |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 257 W. Seventh St, San Pedro, California |
| Authorized Official Name and Position | Dora I Ramirez (PRESIDENT) |
| Authorized Official Contact | 5624775815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bold Within 257 W. 7th St San Pedro CA 90731 Ph: (562) 477-5815 | Bold Within 257 W. Seventh St San Pedro CA 90731 Ph: (562) 477-5815 |
| NPI Number | 1942179783 |
|---|---|
| Provider Enumeration Date | 10/31/2025 |
| Last Update Date | 10/31/2025 |
| Certification Date | 10/14/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942179783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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