Healthcare Provider Details

I. General information

NPI: 1124040076
Provider Name (Legal Business Name): RAMIN SAMADI, MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2006
Last Update Date: 07/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27420 TOURNEY RD STE 220
VALENCIA CA
91355-5634
US

IV. Provider business mailing address

PO BOX 55007
VALENCIA CA
91385-0007
US

V. Phone/Fax

Practice location:
  • Phone: 310-914-9150
  • Fax: 310-914-9705
Mailing address:
  • Phone: 310-914-9150
  • Fax: 310-914-9705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberG79027
License Number StateCA

VIII. Authorized Official

Name: MR. RAMIN SAMADI
Title or Position: MEDICAL DOCTOR
Credential: M.D.
Phone: 310-914-9150