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General NPI Number Information
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NPI Number | 1316175730
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Entity Type | Organization
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Legal Business Name | RAMIN EBRAHIMI MD INC
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Dates
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Enumeration Date | 06/24/2009
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Last Update Date | 06/24/2009
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Provider Practice Location Address
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Address Line | 100 UCLA MEDICAL PLZ SUITE #770
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City | LOS ANGELES
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State | CA
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Zip | 90024-6970
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Country | US
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Telephone | 310-824-7707
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Fax | 310-268-4178
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Provider Business Mailing Address
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Address Line | 801 N TIGERTAIL RD SUITE #770
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City | LOS ANGELES
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State | CA
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Zip | 90049-1416
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Country | US
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Telephone | 310-824-7707
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Fax | 310-268-4178
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Authorized Official
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Title or Position | OWNER
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Name | RAMIN EBRAHIMI
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Credential | MD
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Telephone | 310-824-7707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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