Individual
DR. RAMIN SHAMTOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16550 VENTURA BLVD STE 401, ENCINO, CA 91436-5058
(818) 307-6508
Mailing address
16550 VENTURA BLVD STE 401, ENCINO, CA 91436-5058
(818) 646-0149
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
G75153
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G751530
BLUE SHIELD
CA
05
—
00G751530
—
CA
Enumeration date
02/23/2006
Last updated
08/11/2019
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