Healthcare Provider Details

I. General information

NPI: 1316550379
Provider Name (Legal Business Name): RAMSES PATRON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: RAMSES ANTHONY PATRON DC

II. Dates (important events)

Enumeration Date: 08/28/2020
Last Update Date: 08/28/2020
Certification Date: 08/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1281 E LA HABRA BLVD
LA HABRA CA
90631-5600
US

IV. Provider business mailing address

1281 E LA HABRA BLVD STE 3
LA HABRA CA
90631-5660
US

V. Phone/Fax

Practice location:
  • Phone: 562-697-2181
  • Fax: 562-697-2868
Mailing address:
  • Phone: 562-697-2181
  • Fax: 562-697-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number34778
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: