Provider Demographics
NPI:1659427235
Name:ALIZADEH, RAMIN (MD)
Entity Type:Individual
Prefix:
First Name:RAMIN
Middle Name:
Last Name:ALIZADEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 NEWPORT CENTER DR STE 601
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-7685
Mailing Address - Country:US
Mailing Address - Phone:949-520-7322
Mailing Address - Fax:949-520-7451
Practice Address - Street 1:400 NEWPORT CENTER DR STE 601
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-7685
Practice Address - Country:US
Practice Address - Phone:949-520-7322
Practice Address - Fax:949-520-7451
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA109070207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACG060ZMedicare PIN