# RAM V PATAK MD A MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134134786
- **Authorized official:** MS. LYNN SNYDER (OFFICE MANAGER)
- **Authorized official phone:** (818) 993-5600

## Contact information

- **Practice address:** 18531 ROSCOE BLVD, SUITE 206, NORTHRIDGE, CA 91324-4641
- **Practice address phone:** (818) 993-5600
- **Practice address fax:** (818) 775-1509
- **Mailing address:** 18531 ROSCOE BLVD, SUITE 206, NORTHRIDGE, CA 91324-4641
- **Mailing address phone:** (818) 993-5600
- **Mailing address fax:** (818) 775-1509

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | C39711 | CA | Yes |

## Other

- **Enumeration date:** 07/30/2006
- **Last updated:** 10/19/2011