Doctor Name: | DR. JONNEL RAMOS CONSTANTINO |
NPI Number: | 1124246350 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A89569 |
Business Practice Address: | 1800 E Heim Ave Unit 18 Orange, CA - 928653001 |
Business Phone Number: | 9094275310 |
Business Fax Number: | 9094274107 |
Mailing Address: | 1800 E Heim Ave, Unit 18 ORANGE |
State: | CA |
Postal Code: | 928653001 |
Phone Number: | 9094275310 |
Fax Number: | 9094274107 |
NPI Enumeration Date: | 04/23/2007 |
NPI Last Update Date: | 10/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A89569 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |