Provider Demographics
NPI:1336220912
Name:DAVID RAMIN,MD,APMC
Entity Type:Organization
Organization Name:DAVID RAMIN,MD,APMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:S
Authorized Official - Last Name:RAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-480-3686
Mailing Address - Street 1:1622 TOWER GROVE DR
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-2143
Mailing Address - Country:US
Mailing Address - Phone:310-480-3686
Mailing Address - Fax:
Practice Address - Street 1:3831 HUGHES AVENUE
Practice Address - Street 2:STE 707
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90232-6841
Practice Address - Country:US
Practice Address - Phone:310-829-3353
Practice Address - Fax:310-829-1440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64295207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA64295Medicare ID - Type Unspecified