Healthcare Provider Details

I. General information

NPI: 1033520861
Provider Name (Legal Business Name): RAMEZ A GHABOUR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2014
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 N MAPLE DR UNIT 824
BEVERLY HILLS CA
90213-4864
US

IV. Provider business mailing address

325 N MAPLE DR UNIT 824
BEVERLY HILLS CA
90213-4864
US

V. Phone/Fax

Practice location:
  • Phone: 714-261-1665
  • Fax:
Mailing address:
  • Phone: 714-261-1665
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number20A15670
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: