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Individual

DR. ATA O. RAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
12922 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343
Mailing address
12922 VICTORY BLVD, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A42405
CA
208D00000X
General Practice Physician
Primary
A42405
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A424051
CA
01
ZZZ24912Z
BLUE SHIELD INSURANCE ID
CA
Enumeration date
01/26/2006
Last updated
09/11/2025
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