Organization
RAM V PATAK MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN SNYDER (OFFICE MANAGER)
(818) 993-5600
Entity
Organization
Contact information
Practice address
18531 ROSCOE BLVD, SUITE 206, NORTHRIDGE, CA 91324-4641
(818) 993-5600
(818) 775-1509
Mailing address
18531 ROSCOE BLVD, SUITE 206, NORTHRIDGE, CA 91324-4641
(818) 993-5600
(818) 775-1509
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
C39711
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0050270
—
CA
Enumeration date
07/30/2006
Last updated
10/19/2011
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