Provider Demographics
NPI:1316550379
Name:PATRON, RAMSES
Entity Type:Individual
Prefix:
First Name:RAMSES
Middle Name:
Last Name:PATRON
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RAMSES
Other - Middle Name:ANTHONY
Other - Last Name:PATRON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1281 E LA HABRA BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:LA HABRA
Mailing Address - State:CA
Mailing Address - Zip Code:90631-5660
Mailing Address - Country:US
Mailing Address - Phone:562-697-2181
Mailing Address - Fax:562-697-2868
Practice Address - Street 1:1281 E LA HABRA BLVD
Practice Address - Street 2:
Practice Address - City:LA HABRA
Practice Address - State:CA
Practice Address - Zip Code:90631-5600
Practice Address - Country:US
Practice Address - Phone:562-697-2181
Practice Address - Fax:562-697-2868
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor