Healthcare Provider Details

I. General information

NPI: 1467683805
Provider Name (Legal Business Name): ABELARDO RAMOS CPED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2009
Last Update Date: 02/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

227 E CHAPMAN AVE SUITE A
ORANGE CA
92866-1534
US

IV. Provider business mailing address

227 E CHAPMAN AVE SUITE A
ORANGE CA
92866-1534
US

V. Phone/Fax

Practice location:
  • Phone: 714-744-8200
  • Fax:
Mailing address:
  • Phone: 714-744-8200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberCPED3170
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: