MEDICARE: RAMYA GARLAPATI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	A177434	CA

General Provider Information

NPI Number	:	1811392764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMYA GARLAPATI

Provider Business Mailing Address
First Line	:	1047 CORSICA DR
Second Line	:
City	:	PACIFIC PALISADES
State	:	CA
Zip	:	90272-4013
Country	:	US
Telephone Number	:	561-309-9511
Fax Number	:

Provider Business Practice Location Address
First Line	:	12555 W JEFFERSON BLVD STE 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-7047
Country	:	US
Telephone Number	:	424-541-1756
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	09/03/2025

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