Jose Ceja Ramirez, | |
11133 Washington Blvd, Culver City, CA 90232-3918 | |
(310) 895-2331 | |
(310) 895-2353 |
Full Name | Jose Ceja Ramirez |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 11133 Washington Blvd, Culver City, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023411238 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCCI770 (California) | Primary |
Entity Name | Didi Hirsch Psychiatric Service |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730299959 PECOS PAC ID: 3870537194 Enrollment ID: O20050616000752 |
Mailing Address | Practice Location Address |
---|---|
Jose Ceja Ramirez, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (310) 390-6612 | Jose Ceja Ramirez, 11133 Washington Blvd, Culver City, CA 90232-3918 Ph: (310) 895-2331 |
Mr. Rodger Twitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 | |
Robert Michael Hirschhorn, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 6124 Buckingham Pkwy Unit 304, Culver City, CA 90230 Phone: 323-290-8705 | |
Ladana Marie Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6666 Green Valley Cir, Culver City, CA 90230 Phone: 310-846-5270 Fax: 310-846-5278 | |
Mrs. Jazmin Lugo Martinez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 | |
Lorena Escobar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 | |
Mrs. Cynthia Marie Antonio Siadat, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4760 Sepulveda Blvd, Culver City, CA 90230 Phone: 310-390-6612 Fax: 310-398-5690 |