=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457272775
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | S. ADAM RAMIN MD INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/22/2026
-----------------------------------------------------
Last Update Date | 07/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12922 VICTORY BLVD
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91606-2924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-760-2800
-----------------------------------------------------
Fax | 818-760-7343
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12922 VICTORY BLVD
-----------------------------------------------------
City | NORTH HOLLYWOOD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91606-2924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-760-2800
-----------------------------------------------------
Fax | 818-760-7343
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MANAGER
-----------------------------------------------------
Name | NATARAJ CHANDRASEKHAR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 818-760-2800
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332900000X
-----------------------------------------------------
Taxonomy Name | Non-Pharmacy Dispensing Site
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------