| Stormbreaker Wellness, Inc. | |
|
11801 Pierce St Ste 200 Riverside CA 92505-4400 | |
| (951) 836-9444 | |
| (951) 848-0797 |
| Full Name | Stormbreaker Wellness, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 11801 Pierce St Ste 200, Riverside, California |
| Authorized Official Name and Position | Anthony Gary Ramirez (CEO, TREASURER) |
| Authorized Official Contact | 9092706478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stormbreaker Wellness, Inc. 11801 Pierce St Ste 200 Riverside CA 92505-4400 Ph: (951) 836-9444 | Stormbreaker Wellness, Inc. 11801 Pierce St Ste 200 Riverside CA 92505-4400 Ph: (951) 836-9444 |
| NPI Number | 1609567593 |
|---|---|
| Provider Enumeration Date | 05/19/2023 |
| Last Update Date | 12/26/2024 |
| Certification Date | 12/26/2024 |
| Medicare PECOS PAC ID | 0840711206 |
|---|---|
| Medicare Enrollment ID | O20250303000921 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609567593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anthony Ramirez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730633694 PECOS PAC ID: 4688049471 Enrollment ID: I20230410000796 |
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