Ramin, Soroush Adam
Ramin, Soroush Adam is an individual health care provider with primary practice located at 12922 Victory Blvd Assuta Family Medical Group Apmc, North Hollywood CA 91606-2924. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Oncology, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ramin, Soroush Adam can be contacted via phone (818) 760-2800.Contact Information
Primary practice address
12922 Victory Blvd Assuta Family Medical Group Apmc
North Hollywood CA 91606-2924
Phone: (818) 760-2800
Fax: (818) 760-7343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | A60294 | California |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A60294 | California |
Profile Details
| NPI number | 1639386626 |
|---|---|
| LBN Legal business name | Ramin, Soroush Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Jan 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639386626 | NPPES |
| California | Other | 954827961 | TAX ID |
| California | MEDICAID | 00A602940 | TAX ID |
| California | MEDICAID | 00W184600 | TAX ID |
| California | Other | 201602227 | TAX ID |
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