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General NPI Number Information
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NPI Number | 1154743052
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Entity Type | Organization
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Legal Business Name | RAMIN GHAYOORI MD,INC
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Dates
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Enumeration Date | 01/11/2014
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Last Update Date | 08/04/2021
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Provider Practice Location Address
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Address Line | 12626 RIVERSIDE DR STE 101
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City | VALLEY VILLAGE
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State | CA
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Zip | 91607-3448
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Country | US
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Telephone | 310-560-5189
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 50203
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City | STUDIO CITY
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State | CA
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Zip | 91614-5020
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Country | US
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Telephone | 212-729-3606
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Fax |
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Authorized Official
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Title or Position | MD/CHAIR
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Name | RAMIN GHAYOORI
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Credential |
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Telephone | 310-560-5189
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A104182
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License Number State | CA
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