Provider Demographics
NPI:1326298712
Name:RALPH OWEN
Entity Type:Organization
Organization Name:RALPH OWEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTETRED RESPIRATORY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:OWEN
Authorized Official - Suffix:
Authorized Official - Credentials:RRT
Authorized Official - Phone:562-826-8000
Mailing Address - Street 1:5901 E 7TH ST
Mailing Address - Street 2:ATTN: RESPIRATORY THERAPY DEPT, RALPH OWEN RRT
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90822
Mailing Address - Country:US
Mailing Address - Phone:562-826-8000
Mailing Address - Fax:
Practice Address - Street 1:5901 E 7TH ST
Practice Address - Street 2:ATTN: RESPIRATORY THERAPY, RALPH OWEN RRT
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90822-5201
Practice Address - Country:US
Practice Address - Phone:562-826-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12075273Y00000X, 2865M2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2865M2000XHospitalsMilitary HospitalMilitary General Acute Care Hospital
No273Y00000XHospital UnitsRehabilitation Unit