Provider Demographics
NPI:1437232337
Name:RAMIN AMANI MD MEDICAL CORPORATION
Entity Type:Organization
Organization Name:RAMIN AMANI MD MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:AMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:760-439-4839
Mailing Address - Street 1:12463 RANCHO BERNARDO RD # 280
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2143
Mailing Address - Country:US
Mailing Address - Phone:760-439-4839
Mailing Address - Fax:760-439-4841
Practice Address - Street 1:950 ESCONDIDO AVE # A
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92083-5208
Practice Address - Country:US
Practice Address - Phone:760-439-4839
Practice Address - Fax:760-439-4841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA53984261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center