Healthcare Provider Details

I. General information

NPI: 1346427861
Provider Name (Legal Business Name): MOHSEN M EL RAMAH M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2008
Last Update Date: 07/21/2025
Certification Date: 07/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1550 N IMPERIAL AVE STE 1
EL CENTRO CA
92243-6304
US

IV. Provider business mailing address

516 W ATEN ROAD SUITE 2
IMPERIAL CA
92251
US

V. Phone/Fax

Practice location:
  • Phone: 760-353-4710
  • Fax: 760-545-0245
Mailing address:
  • Phone: 760-355-7730
  • Fax: 760-355-7731

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberA134718
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: