Provider Demographics
NPI:1477918134
Name:RAMOS, RAQUEL F
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:F
Last Name:RAMOS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 SOUTH ST
Mailing Address - Street 2:STE 200
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-6619
Mailing Address - Country:US
Mailing Address - Phone:562-468-0088
Mailing Address - Fax:562-683-3047
Practice Address - Street 1:11700 SOUTH ST STE 200
Practice Address - Street 2:
Practice Address - City:ARTESIA
Practice Address - State:CA
Practice Address - Zip Code:90701-6619
Practice Address - Country:US
Practice Address - Phone:562-468-0088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-23
Last Update Date:2022-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
CA16765225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist