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Organization
R. SHAMTOB, M.D.,INC.
Active
Organization
R. SHAMTOB, M.D.,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMIN SHAMTOB M.D. (DIRECT OWNER)
(818) 888-7815
Entity
Organization
Contact information
Practice address
15107 VANOWEN ST, VAN NUYS, CA 91405-4542
(818) 782-6600
(818) 715-1722
Mailing address
PO BOX 7001, TARZANA, CA 91357-7001
(818) 888-7815
(818) 715-1722
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G75153
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
G75153
CA
Other
Enumeration date
03/30/2006
Last updated
08/27/2008
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