Healthcare Provider Details

I. General information

NPI: 1417970732
Provider Name (Legal Business Name): RAMIN SAMADI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
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 Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberG79027
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: