Healthcare Provider Details

I. General information

NPI: 1326298712
Provider Name (Legal Business Name): RALPH OWEN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 09/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5901 E 7TH ST ATTN: RESPIRATORY THERAPY, RALPH OWEN RRT
LONG BEACH CA
90822-5201
US

IV. Provider business mailing address

5901 E 7TH ST ATTN: RESPIRATORY THERAPY DEPT, RALPH OWEN RRT
LONG BEACH CA
90822
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code273Y00000X
TaxonomyRehabilitation Hospital Unit
License Number12075
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License Number12075
License Number StateCA

VIII. Authorized Official

Name: RALPH OWEN
Title or Position: REGISTETRED RESPIRATORY THERAPIST
Credential: RRT
Phone: 562-826-8000