Provider Demographics
NPI:1316582059
Name:SERA RAMADAN, D.O., INC
Entity Type:Organization
Organization Name:SERA RAMADAN, D.O., INC
Other - Org Name:LOS ANGELES PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SERA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMADAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:213-238-5887
Mailing Address - Street 1:1711 W TEMPLE ST STE 4691
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-7336
Mailing Address - Country:US
Mailing Address - Phone:213-238-5887
Mailing Address - Fax:213-444-7212
Practice Address - Street 1:1711 W TEMPLE ST STE 4691
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-7336
Practice Address - Country:US
Practice Address - Phone:213-238-5887
Practice Address - Fax:213-444-7212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-15
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty