Healthcare Provider Details

I. General information

NPI: 1225425200
Provider Name (Legal Business Name): ELIE RAMLY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2015
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

414 N CAMDEN DR STE 800
BEVERLY HILLS CA
90210-4524
US

IV. Provider business mailing address

414 N CAMDEN DR STE 800
BEVERLY HILLS CA
90210-4524
US

V. Phone/Fax

Practice location:
  • Phone: 310-861-7411
  • Fax:
Mailing address:
  • Phone: 310-861-7411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA199309
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: