Provider Demographics
NPI:1992893424
Name:RAMIN, DAVID S (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:S
Last Name:RAMIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:RAMIN
Other - Middle Name:
Other - Last Name:SADEGHANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:9025 WILSHIRE BLVD STE 210
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1825
Mailing Address - Country:US
Mailing Address - Phone:310-480-3686
Mailing Address - Fax:
Practice Address - Street 1:9025 WILSHIRE BLVD
Practice Address - Street 2:STE 210
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1831
Practice Address - Country:US
Practice Address - Phone:310-276-7575
Practice Address - Fax:310-829-1440
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64295207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64295Medicare ID - Type Unspecified