Individual
DR. SOROUSH ADAM RAMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343
Mailing address
12922 VICTORY BLVD, ASSUTA FAMILY MEDICAL GROUP APMC, NORTH HOLLYWOOD, CA 91606-2924
(818) 760-2800
(818) 760-7343
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
A60294
CA
208800000X
Urology Physician
Primary
A60294
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A602940
—
CA
05
—
00W184600
—
CA
01
—
201602227
TAX ID
CA
01
—
954827961
TAX ID
CA
Enumeration date
05/17/2007
Last updated
01/15/2022
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