Doctor Name: | DR. ATA O. RAMIN |
NPI Number: | 1437129764 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | A42405 |
Business Practice Address: | 12922 Victory Blvd North Hollywood, CA - 916062924 |
Business Phone Number: | 8187602800 |
Business Fax Number: | 8187607343 |
Mailing Address: | 12922 Victory Blvd, NORTH HOLLYWOOD |
State: | CA |
Postal Code: | 916062924 |
Phone Number: | 8187602800 |
Fax Number: | 8187607343 |
NPI Enumeration Date: | 01/26/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A42405 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |