Individual
RAMIN SEYED BERENJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2205 ROSS AVE, STE 101, EL CENTRO, CA 92243-3623
(760) 353-0404
(760) 353-0392
Mailing address
9610 GRANITE RIDGE DR, STE B, SAN DIEGO, CA 92123-2684
(858) 810-8000
(858) 268-1911
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
A54336
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A543360
—
CA
01
—
GL883Y
NO. CALIFORNIA PTAN
CA
01
—
GL883Z
SO. CALIFORNIA PTAN
CA
Enumeration date
12/06/2005
Last updated
09/18/2015
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