Healthcare Provider Details
I. General information
NPI: 1568188811
Provider Name (Legal Business Name): RAMIN RABII DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2022
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
23326 HAWTHORNE BLVD STE 350
TORRANCE CA
90505-3756
US
IV. Provider business mailing address
2110 ARTESIA BLVD # 393
REDONDO BEACH CA
90278-3073
US
V. Phone/Fax
- Phone: 310-375-3939
- Fax:
- Phone: 310-938-8896
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1223P0221X |
| Taxonomy | Pediatric Dentistry |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RAMIN
RABII
Title or Position: PEDIATRIC DENTIST
Credential: DDS
Phone: 310-375-3939