Provider Demographics
NPI:1699705772
Name:RAMEZAN ARAB, NIMA (MD)
Entity type:Individual
Prefix:DR
First Name:NIMA
Middle Name:
Last Name:RAMEZAN ARAB
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3747 WORSHAM AVE
Mailing Address - Street 2:SUITE100
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-1731
Mailing Address - Country:US
Mailing Address - Phone:562-430-3114
Mailing Address - Fax:562-430-7718
Practice Address - Street 1:3851 KATELLA AVE
Practice Address - Street 2:SUITE 215
Practice Address - City:LOS ALAMITOS
Practice Address - State:CA
Practice Address - Zip Code:90720-3309
Practice Address - Country:US
Practice Address - Phone:562-430-3114
Practice Address - Fax:562-430-7718
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2017-02-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA801912084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACB251023Medicare PIN