| Doctor Name: | JOSE CEJA RAMIREZ |
| NPI Number: | 1023411238 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | PCCI770 |
| Business Practice Address: | 11133 Washington Blvd Culver City, CA - 902323918 |
| Business Phone Number: | 3108952331 |
| Business Fax Number: | 3108952353 |
| Mailing Address: | 4760 Sepulveda Blvd, CULVER CITY |
| State: | CA |
| Postal Code: | 902304820 |
| Phone Number: | 3103906612 |
| Fax Number: | 3103985690 |
| NPI Enumeration Date: | 10/01/2014 |
| NPI Last Update Date: | 02/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PCCI770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |