Provider Demographics
NPI:1316175730
Name:RAMIN EBRAHIMI MD INC
Entity type:Organization
Organization Name:RAMIN EBRAHIMI MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:EBRAHIMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-824-7707
Mailing Address - Street 1:801 N TIGERTAIL RD
Mailing Address - Street 2:SUITE #770
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90049-1416
Mailing Address - Country:US
Mailing Address - Phone:310-824-7707
Mailing Address - Fax:310-268-4178
Practice Address - Street 1:100 UCLA MEDICAL PLZ
Practice Address - Street 2:SUITE #770
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90024-6970
Practice Address - Country:US
Practice Address - Phone:310-824-7707
Practice Address - Fax:310-268-4178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty