Provider Demographics
NPI:1770793648
Name:RAMOS, JONATHAN M (DC)
Entity type:Individual
Prefix:DR
First Name:JONATHAN
Middle Name:M
Last Name:RAMOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 E F ST
Mailing Address - Street 2:SUITE #3
Mailing Address - City:ONTARIO
Mailing Address - State:CA
Mailing Address - Zip Code:91764-3749
Mailing Address - Country:US
Mailing Address - Phone:909-986-2966
Mailing Address - Fax:
Practice Address - Street 1:124 E F ST
Practice Address - Street 2:SUITE #3
Practice Address - City:ONTARIO
Practice Address - State:CA
Practice Address - Zip Code:91764-3749
Practice Address - Country:US
Practice Address - Phone:909-986-2966
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA12026111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor