Doctor Name: | RAMONA ELIZONDO |
NPI Number: | 1104955384 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | A910000 |
Business Practice Address: | 8787 Hall Rd Lamont, CA - 932411953 |
Business Phone Number: | 6618453717 |
Business Fax Number: | 6618453385 |
Mailing Address: | 1400 S Union Ave Ste 100, BAKERSFIELD |
State: | CA |
Postal Code: | 933074179 |
Phone Number: | 6613978775 |
Fax Number: | 6613978286 |
NPI Enumeration Date: | 03/05/2007 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | A910000 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |