Provider Demographics
NPI:1124500665
Name:ASCENCIO, LUIS VALENTINE JR (RRT RCP)
Entity type:Individual
Prefix:MR
First Name:LUIS
Middle Name:VALENTINE
Last Name:ASCENCIO
Suffix:JR
Gender:M
Credentials:RRT RCP
Other - Prefix:MR
Other - First Name:LUIS
Other - Middle Name:VALENTINE
Other - Last Name:ASCENCIO
Other - Suffix:JR
Other - Last Name Type:Professional Name
Other - Credentials:RRT-CPFT-RCP
Mailing Address - Street 1:SOUTHERN CALIF. KAISER PERMANENTE HOSPITAL
Mailing Address - Street 2:8110 WOODMAN AVE BUILDING 5
Mailing Address - City:PANORAMA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91402
Mailing Address - Country:US
Mailing Address - Phone:818-375-2000
Mailing Address - Fax:
Practice Address - Street 1:SOUTHERN CALIF. KAISER PERMANENTE HOSPITAL
Practice Address - Street 2:8110 WOODMAN AVE BUILDING 5
Practice Address - City:PANORAMA CITY
Practice Address - State:CA
Practice Address - Zip Code:91402
Practice Address - Country:US
Practice Address - Phone:818-375-2000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA160492278P1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278P1006XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPulmonary Function Technologist