Provider Demographics
NPI:1467683805
Name:RAMOS, ABELARDO (CPED)
Entity Type:Individual
Prefix:MR
First Name:ABELARDO
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:227 E CHAPMAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92866-1534
Mailing Address - Country:US
Mailing Address - Phone:714-744-8200
Mailing Address - Fax:
Practice Address - Street 1:227 E CHAPMAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92866-1534
Practice Address - Country:US
Practice Address - Phone:714-744-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-03
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332BC3200X, 335E00000X, 225000000X
VACPED3170332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No335E00000XSuppliersProsthetic/Orthotic Supplier
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter