Individual
M RAMIN MODABBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404-2139
(310) 829-2663
Mailing address
2020 SANTA MONICA BLVD STE 400, SANTA MONICA, CA 90404-2139
(310) 829-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
G83016
CA
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
G83016
CA
2086S0105X
Surgery of the Hand (Surgery) Physician
G83016
CA
Other
Enumeration date
10/12/2006
Last updated
02/10/2016
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