Healthcare Provider Details

I. General information

NPI: 1932298908
Provider Name (Legal Business Name): RALPH OWEN R.R.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

5901 E 7TH ST
LONG BEACH CA
90822-5201
US

V. Phone/Fax

Practice location:
  • Phone: 562-826-8000
  • Fax: 562-826-5832
Mailing address:
  • Phone: 562-826-8000
  • Fax: 562-826-5832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number12075
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2279E0002X
TaxonomyEmergency Care Registered Respiratory Therapist
License Number12075
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code2279S1500X
TaxonomySNF/Subacute Care Registered Respiratory Therapist
License Number12075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: