Provider Demographics
NPI:1104497262
Name:ZEIN, RAMSEY
Entity type:Individual
Prefix:
First Name:RAMSEY
Middle Name:
Last Name:ZEIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 MANZANITA LN
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90266-4251
Mailing Address - Country:US
Mailing Address - Phone:310-940-9717
Mailing Address - Fax:
Practice Address - Street 1:1559 PACIFIC COAST HWY STE 101
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-3214
Practice Address - Country:US
Practice Address - Phone:310-372-7686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA106504122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist