Provider Demographics
NPI:1891080628
Name:RAMIREZ, DELTON ALEXANDER (CPED)
Entity Type:Individual
Prefix:
First Name:DELTON
Middle Name:ALEXANDER
Last Name:RAMIREZ
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 1:24724 AMBERVALLEY AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-7545
Mailing Address - Country:US
Mailing Address - Phone:909-684-9968
Mailing Address - Fax:866-412-9726
Practice Address - Street 1:24724 AMBERVALLEY AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-7545
Practice Address - Country:US
Practice Address - Phone:909-684-9968
Practice Address - Fax:866-412-9726
Is Sole Proprietor?:No
Enumeration Date:2011-06-09
Last Update Date:2011-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath