Healthcare Provider Details

I. General information

NPI: 1184610768
Provider Name (Legal Business Name): RAMON HEALTHCARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 07/20/2022
Certification Date: 07/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 DELTA AVE
ROSEMEAD CA
91770-1127
US

IV. Provider business mailing address

4800 DELTA AVE
ROSEMEAD CA
91770-1127
US

V. Phone/Fax

Practice location:
  • Phone: 626-607-2400
  • Fax:
Mailing address:
  • Phone: 626-607-2400
  • Fax: 626-607-2490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number950000019
License Number StateCA

VIII. Authorized Official

Name: SOON BURNAM
Title or Position: TREASURER
Credential:
Phone: 949-540-1249