Provider Demographics
NPI:1700332327
Name:CARDENAS, RAMON (RN)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:721 E BANYAN ST
Mailing Address - Street 2:
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91761-6044
Mailing Address - Country:US
Mailing Address - Phone:626-214-1480
Mailing Address - Fax:626-214-1476
Practice Address - Street 1:721 E. BANYAN ST.
Practice Address - Street 2:
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91761
Practice Address - Country:US
Practice Address - Phone:626-214-1480
Practice Address - Fax:626-214-1476
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA669839163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator