Healthcare Provider Details

I. General information

NPI: 1457272775
Provider Name (Legal Business Name): S. ADAM RAMIN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12922 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-2924
US

IV. Provider business mailing address

12922 VICTORY BLVD
NORTH HOLLYWOOD CA
91606-2924
US

V. Phone/Fax

Practice location:
  • Phone: 818-760-2800
  • Fax: 818-760-7343
Mailing address:
  • Phone: 818-760-2800
  • Fax: 818-760-7343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State

VIII. Authorized Official

Name: NATARAJ CHANDRASEKHAR
Title or Position: MANAGER
Credential:
Phone: 818-760-2800