Active NPI
Mobile Light MD Inc
- Dermatology Physician
- Glendora, CA
National Provider Identifier
1720790512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- MOBILE LIGHT MD INC
- Practice address
- 1628 S Grand Ave
Glendora, CA 91740-5433 - Phone
- (805) 996-0456
- NPI assigned
- Dec 23, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ramin Ram, MD
- Title
- President
- Phone
- (805) 996-0456
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1628 S Grand Ave
Glendora, CA 91740-5433
Mailing address
308 S Almont Dr
Beverly Hills, CA 90211-3548
Phone (805) 996-0456
Other practice location 1
14547 Victory Blvd
Van Nuys, CA 91411-1619
Phone (818) 605-9795
National Provider Directory
National Provider DirectoryLocations
26500 Agoura Rd
#102391
Calabasas, CA 91302
Phone (818) 605-9795
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Glendora, CA
- NPI 1306257381
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770595200000",
"number": "1720790512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 S ALMONT DR",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902113548",
"telephone_number": "805-996-0456",
"fax_number": "980-217-2200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1628 S GRAND AVE",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917405433",
"telephone_number": "805-996-0456"
}
],
"practiceLocations": [
{
"address_1": "14547 Victory Blvd",
"address_purpose": "LOCATION",
"city": "Van Nuys",
"state": "CA",
"postal_code": "914111619",
"country_code": "US",
"telephone_number": "818-605-9795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MOBILE LIGHT MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-23",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A",
"authorized_official_last_name": "RAM",
"authorized_official_first_name": "RAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "805-996-0456",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendora, CA
- Kelly Miltenberger, LPCC
- Gretchen Ree Miner, APCC #16649
- Galib Mirza, DO
- MJK Hearing Care Center, Inc. (Advanced Hearing Aid Center)
- MLC Medical Marketing Group, Inc.
- Modesty Electrology
- Mohan Dialysis Center of Covina, Inc (mohan dialysis center of glendora)
- Erin Monjaraz
- Kenneth Paul Monroy
- Jeremy Matthew Montez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.