Healthcare Provider Details

I. General information

NPI: 1326332917
Provider Name (Legal Business Name): ARUN RAMACHANDRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2011
Last Update Date: 09/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8635 W 3RD ST STE 850W
LOS ANGELES CA
90048-6161
US

IV. Provider business mailing address

8635 W 3RD ST STE 850W
LOS ANGELES CA
90048-6161
US

V. Phone/Fax

Practice location:
  • Phone: 310-385-6016
  • Fax:
Mailing address:
  • Phone: 310-385-6016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberA136393
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberA136393
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: