| Ramtin Massoudi Md Inc | |
|
16661 Ventura Blvd Ste 824 Encino CA 91436-4802 | |
| (310) 855-7171 | |
| (310) 855-7262 |
| Full Name | Ramtin Massoudi Md Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 16661 Ventura Blvd Ste 824, Encino, California |
| Authorized Official Name and Position | Ramtin T Massoudi (OWNER) |
| Authorized Official Contact | 3108557171 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ramtin Massoudi Md Inc 16661 Ventura Blvd Ste 824 Encino CA 91436-4802 Ph: (310) 855-7171 | Ramtin Massoudi Md Inc 16661 Ventura Blvd Ste 824 Encino CA 91436-4802 Ph: (310) 855-7171 |
| NPI Number | 1861674012 |
|---|---|
| Provider Enumeration Date | 11/29/2007 |
| Last Update Date | 11/01/2023 |
| Medicare PECOS PAC ID | 9436174752 |
|---|---|
| Medicare Enrollment ID | O20051005001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861674012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A82557 (California) | Primary |
| Provider Name | Ramtin T Massoudi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538384797 PECOS PAC ID: 3375445927 Enrollment ID: I20040123000374 |
| Provider Name | Victor W Shi |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1770857427 PECOS PAC ID: 3173758356 Enrollment ID: I20131023001742 |
| Provider Name | Salar Hakham |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1386960854 PECOS PAC ID: 8022303411 Enrollment ID: I20160824001725 |
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