Provider Demographics
NPI:1538824339
Name:ELHAM RAMTIN
Entity type:Organization
Organization Name:ELHAM RAMTIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELHAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMTIN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:949-354-3550
Mailing Address - Street 1:PO BOX 5373
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90209-5373
Mailing Address - Country:US
Mailing Address - Phone:949-354-3550
Mailing Address - Fax:949-281-1199
Practice Address - Street 1:12843 LANDALE ST
Practice Address - Street 2:
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-1352
Practice Address - Country:US
Practice Address - Phone:949-354-3550
Practice Address - Fax:949-281-1199
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-05
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty