Provider Demographics
NPI:1174858583
Name:RAMOS, ABEL (DO)
Entity Type:Individual
Prefix:DR
First Name:ABEL
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10027 AMBOY AVE
Mailing Address - Street 2:
Mailing Address - City:PACOIMA
Mailing Address - State:CA
Mailing Address - Zip Code:91331-3910
Mailing Address - Country:US
Mailing Address - Phone:818-554-4456
Mailing Address - Fax:866-206-2075
Practice Address - Street 1:801 S CHEVY CHASE DR
Practice Address - Street 2:SUITE: 103
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-4431
Practice Address - Country:US
Practice Address - Phone:818-554-4456
Practice Address - Fax:866-206-2075
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-03
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS 10795207Q00000X
CA20A11277207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine