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General NPI Number Information
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NPI Number | 1174858583
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Entity Type | Individual
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Provider Name | ABEL RAMOS D.O.
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Gender | Male
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Dates
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Enumeration Date | 10/03/2009
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Last Update Date | 04/27/2016
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Provider Practice Location Address
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Address Line | 801 S CHEVY CHASE DR SUITE: 103
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City | GLENDALE
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State | CA
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Zip | 91205-4431
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Country | US
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Telephone | 818-554-4456
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Fax | 866-206-2075
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Provider Business Mailing Address
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Address Line | 10027 AMBOY AVE
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City | PACOIMA
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State | CA
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Zip | 91331-3910
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Country | US
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Telephone | 818-554-4456
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Fax | 866-206-2075
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS 10795
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A11277
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License Number State | CA
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