Individual
RAMAZ DZHANASHVILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
17777 VENTURA BLVD STE 250, ENCINO, CA 91316-3717
(818) 654-8311
(818) 654-8382
Mailing address
17777 VENTURA BLVD STE 250, ENCINO, CA 91316-3717
(818) 654-8311
(818) 654-8382
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
A45389
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A453890
—
CA
Enumeration date
07/26/2006
Last updated
08/09/2011
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