Provider Demographics
NPI:1376420018
Name:SHNOUDI, RAMI ISSA (DC)
Entity type:Individual
Prefix:DR
First Name:RAMI
Middle Name:ISSA
Last Name:SHNOUDI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 OLYMPIC DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-5340
Mailing Address - Country:US
Mailing Address - Phone:650-822-2390
Mailing Address - Fax:
Practice Address - Street 1:2460 OLYMPIC DR
Practice Address - Street 2:
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-5340
Practice Address - Country:US
Practice Address - Phone:650-822-2390
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36963111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor