Healthcare Provider Details

I. General information

NPI: 1811803679
Provider Name (Legal Business Name): JASMINE RAMIN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 E BROADWAY
GLENDALE CA
91205-1407
US

IV. Provider business mailing address

100 S DOHENY DR APT 615
LOS ANGELES CA
90048-2930
US

V. Phone/Fax

Practice location:
  • Phone: 818-242-6834
  • Fax:
Mailing address:
  • Phone: 310-873-8282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: