Provider Demographics
NPI:1598648271
Name:RAMIREZ, METZTLI DANIELA (MA, EDS)
Entity type:Individual
Prefix:MISS
First Name:METZTLI
Middle Name:DANIELA
Last Name:RAMIREZ
Suffix:
Gender:F
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9503 BEVERLY ST
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-6546
Mailing Address - Country:US
Mailing Address - Phone:562-405-2159
Mailing Address - Fax:
Practice Address - Street 1:3003 E HOLLINGWORTH ST
Practice Address - Street 2:
Practice Address - City:WEST COVINA
Practice Address - State:CA
Practice Address - Zip Code:91792-3229
Practice Address - Country:US
Practice Address - Phone:909-598-3661
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-29
Last Update Date:2025-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA210121830103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool