MEDICARE: MOHSEN M EL RAMAH M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RN0300X	Nephrology Physician	A134718	CA

General Provider Information

NPI Number	:	1346427861
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHSEN M EL RAMAH M.D.

Provider Business Mailing Address
First Line	:	516 W ATEN ROAD SUITE 2
Second Line	:
City	:	IMPERIAL
State	:	CA
Zip	:	92251
Country	:	US
Telephone Number	:	760-355-7730
Fax Number	:	760-355-7731

Provider Business Practice Location Address
First Line	:	1550 N IMPERIAL AVE STE 1
Second Line	:
City	:	EL CENTRO
State	:	CA
Zip	:	92243-6304
Country	:	US
Telephone Number	:	760-353-4710
Fax Number	:	760-545-0245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2008
Last Update Date	:	07/21/2025

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