Provider Demographics
NPI:1396402012
Name:RAMIREZ LOMELI, ANGEL SALVADOR (DPT)
Entity Type:Individual
Prefix:
First Name:ANGEL
Middle Name:SALVADOR
Last Name:RAMIREZ LOMELI
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:121 ELMTREE DR
Mailing Address - Street 2:
Mailing Address - City:PERRIS
Mailing Address - State:CA
Mailing Address - Zip Code:92571-2742
Mailing Address - Country:US
Mailing Address - Phone:195-184-2994
Mailing Address - Fax:
Practice Address - Street 1:121 ELMTREE DR
Practice Address - Street 2:
Practice Address - City:PERRIS
Practice Address - State:CA
Practice Address - Zip Code:92571-2742
Practice Address - Country:US
Practice Address - Phone:195-184-2994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA300961225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist