Healthcare Provider Details

I. General information

NPI: 1780698670
Provider Name (Legal Business Name): MONA P RAMANEY MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 09/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD SUITE 745
TORRANCE CA
90503-4504
US

IV. Provider business mailing address

4201 TORRANCE BLVD SUITE 745
TORRANCE CA
90503-4504
US

V. Phone/Fax

Practice location:
  • Phone: 310-540-4060
  • Fax: 310-540-4566
Mailing address:
  • Phone: 310-540-4060
  • Fax: 310-540-4566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA38363
License Number StateCA

VIII. Authorized Official

Name: MONA P. RAMANEY
Title or Position: OWNER/PRESIDENT
Credential: M.D.
Phone: 310-540-4060