Healthcare Provider Details

I. General information

NPI: 1831004597
Provider Name (Legal Business Name): ADRIAN RAMOS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 S FREMONT AVE UNIT 85
ALHAMBRA CA
91803-8822
US

IV. Provider business mailing address

1000 S FREMONT AVE UNIT 85
ALHAMBRA CA
91803-8822
US

V. Phone/Fax

Practice location:
  • Phone: 818-940-4335
  • Fax: 626-270-4094
Mailing address:
  • Phone: 818-940-4335
  • Fax: 626-270-4094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License NumberRBT-24-348284
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: