Provider Demographics
NPI:1427419639
Name:RAM, CHRISTOPHER (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:
Last Name:RAM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W CENTRAL AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-3001
Mailing Address - Country:US
Mailing Address - Phone:562-883-5599
Mailing Address - Fax:
Practice Address - Street 1:420 W CENTRAL AVE
Practice Address - Street 2:SUITE B
Practice Address - City:BREA
Practice Address - State:CA
Practice Address - Zip Code:92821-3001
Practice Address - Country:US
Practice Address - Phone:562-883-5599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-15
Last Update Date:2016-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33490111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor